The effect of uterine massage after vaginal delivery on the duration of placental delivery and amount of postpartum hemorrhage

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dc.authoridGöksu, Mustafa/0000-0002-6389-9178
dc.authoridçetin arslan, Hale/0000-0002-5392-2434
dc.authoridKadirogullari, Pinar/0000-0002-3268-4940
dc.authoridSeckin, Kerem Doga/0000-0002-9668-2063
dc.authorwosidGöksu, Mustafa/ISA-2515-2023
dc.authorwosidçetin arslan, Hale/GWC-2634-2022
dc.authorwosidçetin, hale/JRX-7435-2023
dc.authorwosidAslan Çetin, Berna Aslan/Q-2182-2018
dc.contributor.authorKadirogullari, Pinar
dc.contributor.authorCetin, Berna Aslan
dc.contributor.authorGoksu, Mustafa
dc.contributor.authorArslan, Hale Cetin
dc.contributor.authorSeckin, Kerem Doga
dc.date.accessioned2024-05-19T14:46:16Z
dc.date.available2024-05-19T14:46:16Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractObjective The aim of this study was to investigate the effects of uterine massage performed before placental delivery on the third stage of labor and postpartum hemorrhage after vaginal delivery. Materials and methods The study was designed as a prospective randomized controlled study. Between June 2018 and June 2019, 242 women who gave birth in Istanbul Kanuni Sultan Suleyman Training and Research Hospital were included in the study. The women were divided into two groups; group 1 received uterine massage after vaginal delivery before placental delivery (n: 128) and group 2 did not receive massage (n: 114). Demographic characteristics, delivery times of the baby and placenta, duration of uterine massage, amount of postpartum hemorrhage and postpartum hemoglobin values of both groups were recorded. Results Baseline characteristics were similar in both groups. Placental output time after delivery was 8.3 +/- 4.2 min in group 1 and 13.5 +/- 6.3 min in group 2. The third stage of labor was significantly shorter in group 1 (p = 0.012). The amount of blood loss of 500 mL or more after delivery was higher in group 2 but not statistically different (p > 0.05). Hemoglobin value measured within 12-24 h after delivery was significantly lower in group 2 (hemoglobin < 8 g/dL after 12- 24 h p = 0.003; hemoglobin < 10 g/dL after 12-24 h p = 0.001). Delta hb value was also significantly lower in group 2 (p = 0.03). With this result, it was determined that bleeding intense enough to require transfusion was more common in group 2. Conclusion In patients delivering vaginally, uterine massage before placental delivery shortens the placental delivery time and reduces postpartum hemorrhage. In addition to oxytocin and controlled cord traction to reduce postpartum blood loss, uterine massage should be routinely used in the active management of the third stage of labor.en_US
dc.identifier.doi10.1007/s00404-023-07211-5
dc.identifier.issn0932-0067
dc.identifier.issn1432-0711
dc.identifier.pmid37698604en_US
dc.identifier.scopus2-s2.0-85171134267en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org10.1007/s00404-023-07211-5
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5484
dc.identifier.wosWOS:001066959500003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofArchives of Gynecology and Obstetricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectPostpartum Hemorrhageen_US
dc.subjectThird Stage Of Laboren_US
dc.subjectUterine Massageen_US
dc.subjectVaginal Deliveryen_US
dc.titleThe effect of uterine massage after vaginal delivery on the duration of placental delivery and amount of postpartum hemorrhageen_US
dc.typeArticleen_US

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