POSTPARTUM HEMORRHAGE AND ECLAMPSIA
REDUCING POSTPARTUM HEMORRHAGE AND ECLAMPSIA
Despite the presence of a skilled attendant and proper management, about 3-4 % of women will still experience postpartum blood loss more than 1000 ml during the third stage of labor. Over all, every year on average, 130 000 women bleed to death while giving birth. In about 90 % of cases the cause is uterine atony, or failure of the uterus to contract properly after childbirth.
If bleeding is profuse, treatment with hormone oxytocin 0, 5 ml [5 units] in an I.V. [Intra Venous] infusion. If oxytocin is not available, another option of treatment is prostaglandin misoprostol [generic, Cytotec]. Oral: 100 and 200 microgram tablets, 3-4 times daily.
Preventing postpartum hemorrhage [The writer experiences]:
Prevent of uterine atony [weaken contraction of uterus].The writer experiences was giving neuromuscular and tropic vitamins such as tablet neurodex which contains vitamins B1 100 mg, B6 200 mg and B12 250 microgram, once daily for the last trimester of pregnancy. The effect of these vitamins are: good strength of smooth muscle of uterus, good excitability of autonomic nervous system supplied the uterus; and the uterus is sensitive to oxytocin in parturition and strong contraction of uterus on the second and on the third stage of labor; eventually prevent hemorrhage.
The other drugs prevent the bleeding on postpartum hemorrhage are: vitamin C 500 mg per oral daily, vitamin K 5 mg per oral daily and calcium lactate 500 mg per oral daily, respectively once daily for the last month of pregnancy. The purpose of giving these drugs are better clotting of blood on post partum period and finally prevent bleeding or hemorrhage.
PRE-ECLAMPSIA AND ECLAMPSIA.
Pre-eclampsia is a disorder of pregnancy affecting several body systems, including the brain, liver and kidney. The symptoms and signs are characterized by hypertension, protein in urine and generalize edema. The manifestations...
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