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Oxytocics for the prevention of post-partum haemorrhages
A review
Authors:P. W. J. Van Dongen   J. Van Roosmalen   C. N. De Boer  J. Van Rooij
Affiliation:(1) Department of Obstetrics and Gynaecology, University Hospital Nijmegen, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands;(2) Department of Obstetrics and Gynaecology, University Hospital Leiden, P.O. Box 9600, 2300 RC Leiden, the Netherlands;(3) Department of Obstetrics and Gynaecology, Catharina Hospital Eindhoven, Michelangelolaan 2, 5623 EJ Eindhoven, the Netherlands
Abstract:Secale alkaloids, oxytocin and prostaglandins are used to prevent post-partum haemorrhage (post-partum haemorrhage defined as blood loss ges 500 ml). Any oxytocic drug administered in the third stage of labour reduces the blood loss with approximately 40% and hence the incidence of post-partum haemorrhage from 10 to 6%. Therefore, routine active management of the third stage with an oxytocic drug is strongly advocated. Because of the fewest side-effects oxytocin is regarded as the best drug available at this moment.
Keywords:Drug stability  Ergometrine  Hemorrhage, postpartum/prevention and control  Oxytocin  Prostaglandins  Risk factors  Side effects
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