The effects of lower uterine segment compression after Modified Crede’ maneuver on blood loss in the postpartum period

Main Article Content

Parichart Tewapitak
Patarawadee Pholphoke

Abstract

Background:  Postpartum hemorrhage (PPH) has been a significant cause of maternal morbidity and mortality. Most PPH cases are caused by uterine atony. Immediate lower uterine segment compression (LUSC) is a technique that could reduce blood loss after placenta delivery.


Objective: This study examined the effect of immediate LUSC using modified crede’ maneuver on blood loss at 2 hours and 24 hours after placenta delivery.


Methods: Purposive sampling method was used to recruit the sample of 60 mothers who admitted at Nopparat Rajathanee Hospital. The mothers were assigned into two groups: the experimental group and the control group.  The mothers in both groups received the same standard treatments. The experimental group received additional 10 minutes of LUSC after placenta delivery. The research instruments were LUSC, digital scale, and a recording form. Data were analyzed using descriptive statistics and t-test.


Results:  The findings showed that there were statistically significant differences between the mean amount of blood loss in the experimental group and the control group at 2 hours and 24 hours after delivery (t=2.591, p=0.012; t=2.683, p=0.009, respectively). Thus, the use of LUSC resulted in less blood loss in the experimental group than that of the control group.


Conclusions: The 10-minute LUSC with Modified Crede’ technique significantly reduced blood loss at 2 hours and 24 hours after placenta delivery.

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How to Cite
Tewapitak ป., & Pholphoke ภ. . . (2021). The effects of lower uterine segment compression after Modified Crede’ maneuver on blood loss in the postpartum period. JOURNAL OF HEALTH SCIENCE RESEARCH, 15(3), 158–169. Retrieved from https://he01.tci-thaijo.org/index.php/JHR/article/view/248814
Section
นิพนธ์ต้นฉบับ (Original Articles)

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