Comparison effect of intravenous tranexamic acid and misoprostol for postpartum haemorrhage
Comparison effect of intravenous tranexamic acid and misoprostol for postpartum haemorrhage
نویسندگان: شمسی عباسعلیزاده , پرویز صالح , رضا پیری , محمد نقوی بهزاد , فرناز صحاف ابراهیمی , مرتضی قوجازاده
کلمات کلیدی: Key words: Maternal death, misoprostol, postpartum haemorrhage, tranexamic acid
نشریه: 0 , 4 , 55 , 2014
| نویسنده ثبت کننده مقاله |
فرناز صحاف ابراهیمی |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
بیماری های عفونی و گرمسیری |
| کد مقاله |
58608 |
| عنوان فارسی مقاله |
Comparison effect of intravenous tranexamic acid and misoprostol for postpartum haemorrhage |
| عنوان لاتین مقاله |
Comparison effect of intravenous tranexamic acid and misoprostol for postpartum haemorrhage |
| ناشر |
8 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
خیر |
| عنوان نشریه (خارج از لیست فوق) |
Nigerian Medical Journal |
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح چهار – سایر سایت های تخصصی |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
http://www.nigeriamedj.com |
| ABSTRACT
Background: Postpartum haemorrhage (PPH) is the third-most common cause of maternal
death in the United States and it is still the first prevalent cause of maternal death in
developing countries. Active prevention of haemorrhage with an uterotonic or other new
drugs leads to a decrease in postpartum vaginal haemorrhage. The aim of this study was
to compare anti-haemorrhagic effect of Tranexamic acid (TXA) and Misoprostol for PPH.
Patients and Methods: In a double-blinded randomised control clinical trial, 200 women
were included after Caesarean or natural vaginal delivery with abnormal PPH. They were
divided into two equal intervention and control groups. Effect of intravenous TXA and
Misoprostol for postpartum haemorrhage was examined. Results: The mean age of patients
was 26.7 ± 6.5 years which ranged from 14 to 43 years. The sonographic gestational age in the
group treated with TXA was 37.7 ± 3.4 weeks and it was 37.4 ± 3.3 weeks for the other group
(P = 0.44). The haemorrhage in the TXA and Misoprostol groups was 1.2 ± 0.33 litres and
1.18 ± 0.47 litres, respectively (P = 0.79). The haemoglobin levels after 6-12 hours of labour,
in TXA group was more than that of the Misoprostol group, but this difference was not
statistically significant (P = 0.22 and P = 0.21, respectively). Conclusion: Regarding to the
superior results in Misoprostol group in one hand and lack of significant differences between
two groups in haemorrhage during labour, post-partum haemoglobin level and discharge
haemoglobin level, we can state that Misoprostol has no specific preferences to TXA, but
more studies with greater population are needed. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| comparison effect.pdf | 1395/06/09 | 783742 | دانلود |