Obstetric and gynaecological Department, Ministry of Health, Fayoum General Hospital, Fayoum, Egypt.
Ethiop J Health Sci. 2023 May;33(3):463-471. doi: 10.4314/ejhs.v33i3.9.
This study is aimed to introduce a new technique used in controlling the postpartum bleeding during normal vaginal delivery.
This study was conducted on 150 pregnant women aged 18 years or more who were eligible for normal vaginal delivery. After placental delivery, Mostafa Maged maneuver was applied. The amount of blood loss was estimated by counting the number of pads immediately before applying the maneuver compared to the number of pads immediately after applying the maneuver to determine the effectiveness of the Mostafa Maged maneuver.
The study revealed that 15.3% of the study group had atony, and 23.3% were complicated with postpartum hemorrhage. In terms of blood loss, the average number of pads used before Mostafa Maged compression was (2.8) pads, with a range of 1 to 6 pads. The mean blood loss volume was (353.3±158.5) ml ranging between 125 and 750 ml. we should consider that Mostafa Maged maneuver is immediately applied after placental delivery. That is why small amount of 125 ml of blood loss in few patients is estimated, which decreased to (0.54±0.14) pads ranging between 0.5 and 1 pad with a mean (65.2±17.7) ml blood loss ranging between 60 and 125 ml after applying Mostafa Maged maneuver during normal vaginal delivery. There was a statistical decrease in the number of pads and volume of blood loss after Mostafa Maged maneuver.
Mostafa Maged maneuver was found to be effective in stopping and preventing postpartum bleeding during vaginal delivery as this maneuver is used as a prophylaxis against post-partum hemorrhage in patients with risk factors of postpartum hemorrhage. It is also used to control post-partum hemorrhage during vaginal delivery. It has been proven to be tolerable, easy to learn and easy to perform.
本研究旨在介绍一种用于控制正常阴道分娩产后出血的新技术。
本研究纳入了 150 名年龄在 18 岁及以上、适合行正常阴道分娩的孕妇。胎盘娩出后应用 Mostafa Maged 手法。通过比较应用手法前后垫巾数量来估计出血量，以确定 Mostafa Maged 手法的有效性。
研究显示，研究组 15.3%的产妇宫缩乏力，23.3%的产妇并发产后出血。在出血量方面，Mostafa Maged 手法压迫前使用的垫巾平均数量为（2.8）片，范围为 1 到 6 片。平均出血量为（353.3±158.5）ml，范围为 125 到 750ml。我们应该考虑到 Mostafa Maged 手法是在胎盘娩出后立即应用的。这就是为什么在少数患者中估计出血量只有 125ml 这么少，应用 Mostafa Maged 手法后，出血量减少至（0.54±0.14）片，范围为 0.5 到 1 片，平均出血量为（65.2±17.7）ml，范围为 60 到 125ml。应用 Mostafa Maged 手法后，垫巾数量和出血量均有统计学减少。
Mostafa Maged 手法在控制和预防阴道分娩产后出血方面是有效的，因为该手法可用于有产后出血风险因素的患者的产后出血预防，也可用于控制阴道分娩产后出血。该手法已被证明是耐受良好、易于学习和操作的。
