Dimitrov A, Nalbanski B, Borisov S, Nikolov A, Dzherov L, Gamishev G
Akush Ginekol (Sofiia). 1996;35(3):11-3.
On the base of 192 retrospective and 144 prospective cases are evaluated the side of routine prophylactic of the blood loss at the third period of labor. The control group consist of 50 labouring women with expective management of placental period. In normotensive women the methergine does not increase the blood pressure. The use of oxytocic drugs after the delivery of the head shorten the time of placental separation but make more difficult the cord traction method for the delivery of the placenta. The active management of the placental period decrease the rate of instrumental revision of the uterine cavity and the supplemental administration of oxytocic in the early postpartum period. This investigation confirms and justify the routine use of oxytocic after the delivery of the head as a prophylactic of the blood loss in the placental period.
基于192例回顾性病例和144例前瞻性病例，对分娩第三产程失血的常规预防措施进行了评估。对照组由50名采用期待处理胎盘期的产妇组成。在血压正常的女性中，麦角新碱不会升高血压。胎头娩出后使用催产药物可缩短胎盘剥离时间，但会使胎盘娩出时的脐带牵引方法更困难。积极处理胎盘期可降低宫腔器械检查率及产后早期催产药物的补充使用。本研究证实并说明了胎头娩出后常规使用催产药物作为胎盘期失血预防措施的合理性。
