Post-partum Hemorrhage
Conditions
Keywords
Mostafa Maged maneuver, Bimanual uterine compression, vaginal delivery, postpartum hemorrhage
Brief summary
The current study aimed to investigate the effectiveness of the Mostafa Maged maneuver compared to Bimanual uterine compression in controlling postpartum hemorrhage during vaginal delivery. The study subjects were categorized into two groups. The first group was managed by the Mostafa Maged maneuver , whereas the second group was managed by routine bimanual uterine compression. investigators attempted to determine the duration of each maneuver required until the investigator became exhausted, as well as whether or not oxytocin was administered later in each maneuver .
Interventions
PROCEDUREMostafa Maged maneuver
While the patient is on the lithotomy position , The first step in the Mostafa Maged maneuveur step is placing the right hand to the posterior fornix of vaginal canal trying to put pressure on the cervix and the lower part of uterus compressing the anterior and posterior walls of the lower uterine segment. The second point is placing the left hand over the fundus of the uterus and the posterior wall of the uterus from the abdominal part of the pregnant mother (the side of the abdominal skin). The third step is trying to grasp the whole uterus by the two hands abdominally and vaginally against the symphysis pubis as if the uterus is containing or surrounding the symphysis pubis bone, and in this way, getting the anterior and posterior walls of the uterus against each other (compression achieved)
PROCEDUREBimanual uterine compression
the clinician places one hand on the abdomen and the other hand inside the vagina then compresses the uterus between the two hands.
Sponsors
Al-Azhar University
Ministry of Health and Population, Egypt
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
\- female and pregnant
Exclusion criteria
* hematological diseases morbid obese smoking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Good hemostasis and achieving the uterus contracted | first 3 hours | no post-partum hemorrhage , we assess this by the amount of bleeding going down and by the atonic status of the uterus at that time |
| obstetrician does not feel fatigued | during applying the maneuver | no exhaustion for the obstetrician , and this outcome is told by the investigators themselves |
Countries
Egypt
Outcome results
None listed