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Corresponding Author

Wesam Hamdy Sahloul

Document Type

Original Article

Abstract

Background: Uterine atony is the greatest typical etiology of primary PPH. Developed nations' atonic PPH rates are rising despite regular active control of the third stage of work. Primary PPH continues to be the greatest cause of maternal mortality in less developed nations. Aim and objectives: to assess the effectiveness of rectal misoprostol, oxytocin infusion, and oxytocin intravenous bolus and infusion in reducing blood loss during and after elective caesarean delivery. Subjects and methods: This prospective research included 200 pregnant patients who were hospitalized to the labor ward at the Al-Hussein University Hospital's Department of Obstetrics and Gynecology. Result: There was a substantial variation among included groups regarding Additional uterotonic use Intraoperatively as it was used in 17, 12, 13 and 5 respectively in groups 1,2,3 and 4. Conclusion: Compared to the Oxytocin and Misoprostol groups, Carbetocin is only effective in reducing postpartum bleeding and is related with a reduced requirement for further uterotonic medicines or surgical hemostatic treatments.

Keywords

Carbetocin; Oxytocin; Misoprostol; Cesarean section; Control blood loss

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