Pain and bleeding after Cesaean Section. Other complications of obstetric surgery and procedures
Conditions
Interventions
Intervention 1: Intervention group: In recovery, 10 units of intravenous oxytocin (per liter of serum) are injected and then rectal oxytocin suppositories are given. Suppositories contain 10 effective
Sponsors
Karaj University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
20 Years to 40 Years
Inclusion criteria
Inclusion criteria: Pregnant women candidates for elective cesarean surgery for the second time Age 20 to 40 years Full-term women (37 full weeks of pregnancy and singletons) who undergo active cesarean section for non-emergency reasons. A.S.A Class II Not suffering from underlying diseases such as diabetes, high blood pressure, preeclampsia, eclampsia or a history of taking certain drugs. Not suffering from hypothyroidism Insensitivity to oxytocin Absence of fetal anomalies No history of headache and migraine No history of taking psychotropic drugs No alcohol or drug addiction Complete mastery of official language conversation and the ability to read and write in Persian No meningitis at the time of study Not suffering from psychiatric diseases
Exclusion criteria
Exclusion criteria: Severe drop in blood pressure during cesarean section Any arrhythmia, whether tachyarrhythmia or bradyrhythmia Heavy bleeding during cesarean section Any disruption in the delivery process that prolongs the surgical process or repeats the caesarean section, including rupture of the bladder or bowels during surgery. Hemodynamic changes during surgery, nausea and vomiting, respiratory arrest, arrhythmia and severe bleeding The occurrence of shivering and severe pain in patients after surgery The need for extra days of oxytocin or the need for other drugs such as metrogen and misopropylol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: 0.5, 1, 1.5, 3.5, 6 hours after surgery. Method of measurement: Visual analog scale questionnaire.;Bleeding. Timepoint: Within 24 hours after delivery. Method of measurement: Counting gasses and blood-soaked sheets to estimate the amount of bleeding. | — |
Secondary
| Measure | Time frame |
|---|---|
| Headache. Timepoint: 12, 24, 48 and 72 hours after surgery. Method of measurement: visual analog scale questionnaire.;Shivering. Timepoint: 20, 35, 50, 65, 80 and 95 minutes after surgery. Method of measurement: Crossley and Mahajan scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMehdi Zakikhani MD
Karaj University of Medical Sciences
Outcome results
None listed