PREOPERATIVE MISOPROSTOL TO PREVENT POSTPARTUM HAEMORRHAGE FOLLOWING CAESEREAN SECTION

Dr Satish Kumar Kagwad; Dr Shashikala C K; Dr Suraj Kagwad

Volume : V, Issue : XII, December - 2016

PREOPERATIVE MISOPROSTOL TO PREVENT POSTPARTUM HAEMORRHAGE FOLLOWING CAESEREAN SECTION

Dr Satish Kumar Kagwad, Dr Shashikala C K, Dr Suraj Kagwad

Abstract :

Postpartum haemorrhage is a major public health problem more so in developing countries like India. The active management of third stage of labour prescribed by the WHO has been used to successfully prevent PPH. These guidelines although universally followed following vaginal delivery could not be applied in all cases of LSCS, thereby increasing the prevalence of PPH following LSCS. Various modalities of treatment have been advocated for the prevention and treatment of PPH following LSCS of which medical therapy has largely been successful. Misoprostol has long been used for the control of PPH, but mainly in a postpartum setting. Here we try to evaluate the efficacy of misoprostol given pre-operatively just before placing the incision in patients undergoing LSCS in order to prevent PPH.