Prophylac tic interventions after delivery of placenta for reducing bleeding during the postnatal period
Prophylac tic interventions after delivery of placenta for reducing bleeding during the postnatal period
复制标题
胎盘娩出后预防性干预以减少产后出血
DOI：
10.1002/14651858.cd009328
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Rintaro Mori
中科院分区：
文献类型：
--
作者：
Yukari Yaju;Yaeko Kataoka;Hiromi Eto;Shigeko Horiuchi;Rintaro Mori
背景有几篇科克伦系统综述关注第三产程预防产后出血（PPH），另一篇科克伦综述研究第三产程预防性子宫收缩的时机（即胎盘娩出前或娩出后）。然而，没有科克伦综述关注胎盘分娩后单纯给予干预的使用。麦角新碱或甲基麦角新碱在一些国家用于预防胎盘娩出后的产后期（婴儿娩出后的时期）PPH。此外，没有科克伦的评论，迄今已考虑草药疗法或顺势疗法的补救措施，以预防产后PPH交付的placenta.ObjectivesTo评估有效的预防性干预PPH，包括预防性使用麦角胺，麦角新碱，甲基麦角新碱，草药疗法，顺势疗法的补救措施，管理后交付的胎盘，与无子宫收缩剂以及不同给药途径预防胎盘娩出后PPH相比。
BackgroundThere are several Cochrane systematic reviews looking at postpartum haemorrhage (PPH) prophylaxis in the third stage of labour and another Cochrane review investigating the timing of prophylactic uterotonics in the third stage of labour (ie before or after delivery of the placenta). There are, however, no Cochrane reviews looking at the use of interventions given purely after delivery of the placenta. Ergometrine or methylergometrine are used for the prevention of PPH in the postpartum period (the period after delivery of the infant) after delivery of the placenta in some countries. There are, furthermore, no Cochrane reviews that have so far considered herbal therapies or homeopathic remedies for the prevention of PPH after delivery of the placenta.ObjectivesTo assess the effectiveness of available prophylactic interventions for PPH including prophylactic use of ergotamine, ergometrine, methylergometrine, herbal therapies, and homeopathic remedies, administered after delivery of the placenta, compared with no uterotonic agents as well as with different routes of administration for prevention of PPH after delivery of the placenta.