The efficacy and safety of intrauterine misoprostol versus rectal misoprostol in reducing blood loss during and after cesarean section : Randomized control trial / Mirna Osama Mohamed Awad ; Supervised Omneya Mostafa Helal , Moutaz Mahmoud Elsherbini , Zamzam Ahmed Mohamed Dawoud

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Mirna Osama Mohamed Awad

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TextLanguage: English Publication details: Cairo : Mirna Osama Mohamed Awad , 2019Description: 90 P. : charts , facsimiles ; 25cmOther title:

فعالية و سلامة الميزوبوستول داخل الرحم مقابل الميزوبروستول المستقيمي في تقليل فقد الدم اثناء و بعد القيصرية : تجربة منضبطة معشاة [Added title page title]

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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics Summary: Objective: To compare the efficacy and safety of preoperative rectal misoprostol versus intraoperative intrauterine misoprostol in the reduction of blood loss during and after lower segment caesarean delivery. Methodology: 98 pregnant women, candidate for LSCS, were equally randomized into 2 groups: rectal misoprostol group (received 400 microgram misoprostol rectally preoperatively) and intrauterine misoprostol group (received 400 microgram misoprostol inserted intrauterine intraoperatively following the delivery of the placenta). The 1ry outcome was the estimated blood loss (EBL) during cesarean delivery and 2ry outcomes included the occurrence of excessive blood loss (> 1000 mL) within the first 24 hours postoperatively and the occurrence of any maternal or fetal side effects. Results: no statistically significant difference between the two studied groups regarding the estimated blood loss. Furthermore, there was no statistically significant difference between them as regard the occurrence of postpartum hemorrhage (> 1000ml in the first 24 hours) and the Apgar score of the neonate at 1 minute. Only Apgar score at 5 min was significantly higher in intrauterine group compared to rectal group.Conclusion: the intrauterine misoprostol insertion is equally effective and safer than the rectal misoprostol insertion in the reduction of blood loss during and after lower segment caesarean delivery

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Item type	Current library	Home library	Call number	Copy number	Status	Barcode
Thesis	قاعة الرسائل الجامعية - الدور الاول	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.11.15.M.Sc.2019.Mi.E (Browse shelf(Opens below))		Not for loan	01010110079402000
CD - Rom	مخـــزن الرســائل الجـــامعية - البدروم	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.11.15.M.Sc.2019.Mi.E (Browse shelf(Opens below))	79402.CD	Not for loan	01020110079402000

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Previous	Cai01.11.15.M.Sc.2019.Is.C Comparison of sublingual misoprostol and oxytocin infusion in control of blood loss associated with cesarean section /	Cai01.11.15.M.Sc.2019.Ma.I Impact of local wound infiltration anesthesia on early postoperative outcomes in patients undergoing repeat cesarean section /	Cai01.11.15.M.Sc.2019.Ma.I Impact of local wound infiltration anesthesia on early postoperative outcomes in patients undergoing repeat cesarean section /	Cai01.11.15.M.Sc.2019.Mi.E The efficacy and safety of intrauterine misoprostol versus rectal misoprostol in reducing blood loss during and after cesarean section : Randomized control trial /	Cai01.11.15.M.Sc.2019.Mi.E The efficacy and safety of intrauterine misoprostol versus rectal misoprostol in reducing blood loss during and after cesarean section : Randomized control trial /	Cai01.11.15.M.Sc.2019.Mo.C Correlation between ocular findings and bad obstetric history in women with primary antiphospholipid syndrome /	Cai01.11.15.M.Sc.2019.Mo.C Correlation between ocular findings and bad obstetric history in women with primary antiphospholipid syndrome /	Next

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics

Objective: To compare the efficacy and safety of preoperative rectal misoprostol versus intraoperative intrauterine misoprostol in the reduction of blood loss during and after lower segment caesarean delivery. Methodology: 98 pregnant women, candidate for LSCS, were equally randomized into 2 groups: rectal misoprostol group (received 400 microgram misoprostol rectally preoperatively) and intrauterine misoprostol group (received 400 microgram misoprostol inserted intrauterine intraoperatively following the delivery of the placenta). The 1ry outcome was the estimated blood loss (EBL) during cesarean delivery and 2ry outcomes included the occurrence of excessive blood loss (> 1000 mL) within the first 24 hours postoperatively and the occurrence of any maternal or fetal side effects. Results: no statistically significant difference between the two studied groups regarding the estimated blood loss. Furthermore, there was no statistically significant difference between them as regard the occurrence of postpartum hemorrhage (> 1000ml in the first 24 hours) and the Apgar score of the neonate at 1 minute. Only Apgar score at 5 min was significantly higher in intrauterine group compared to rectal group.Conclusion: the intrauterine misoprostol insertion is equally effective and safer than the rectal misoprostol insertion in the reduction of blood loss during and after lower segment caesarean delivery

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