Uterine Massage to Reduce Blood Loss After Vaginal Delivery: A Randomized Controlled Trial

摘要

I read with interest the article by Chen et al.Postpartum hemorrhage is indeed a serious complication of labor all over the world. Postpartum hemorrhage needs to be dealt with promptly, efficiently, and comprehensively. Because there are many different causes, the management cannot be simplified to one-protocol-fits-all. The authors' protocol was fit for a low-resources set-up indeed-administer 10 international units of oxytocin intramuscularly and observe compared with same and massage the uterus for 30 minutes. The primary outcome of more than 400 mL of blood loss in 2 hours in only 12% of parturients is excellent; I always thought that 500 mL is probably an underestimated average. The average blood loss of 260 mL in patients not needing any further attention highlights the success of the implementation of evidence-based medicine recommendations.