CALL FOR PAPERS

CERTIFICATE

IMPACT FACTOR 2018

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

Comparative analysis of appropriate second line therapies for management of severe postpartum hemorrhage – a prospective study

Author: 
Dr. Beenish Yousseff and Dr. Nadiya Yousseff
Subject Area: 
Health Sciences
Abstract: 

Objective: To explore appropriate second line therapies for management of severe postpartum hemorrhage at caesarean and vaginal delivery. Methods : A prospective study was done of 100 women at Lalla Ded Hospital of GMC, Srinagar, of primary postpartum hemorrhage unresponsive to standard medical therapy. In all of these PPH cases, women were treated with appropriate oxytocic agents and prostaglandin analogues. Intravenous infusions of oxytocin, intravenous methergine and / or intramuscular carboprost tromethamine were all used in accordance with our hospital protocol. 50 patients of failed medical therapy were managed with utero vaginal packing, and in another group of 50 patients Sengstaken Blakemore Oesophageal Catheter [SBOC] was inserted. Women with traumatic PPH and secondary infection were excluded from our study. Coagulation studies were carried out in all patients to exclude coagulopathy as the cause of, or a catalyst for the hemorrhage. Result : In the SBOC group, balloon tamponade succeeded in arresting hemorrhage in 47 patients out of 50 (94% success rate), whereas 3 patients who developed PPH after caesarean section failed the tamponade test and underwent urgent caesarean hysterectomy, (6% failure), due to the ongoing hemorrhage. In the uterine packing group, success was achieved in arresting hemorrhage in 39 patients (78% success rate) and failed in 11 patients (22% failure rate). 6 underwent caesarean hysterectomy and 5 patients who developed PPH after normal vaginal delivery underwent postpartum hysterectomy. Statistically, there was a significant difference with respect to outcome of tamponade procedure between the two groups (p-value = 0.021). There was no statistical significance with respect to the cause of PPH, mode of delivery, duration of labour or gestation at delivery. Conclusion : The results from our observations strongly support the use of balloon tamponade for unresponsive postpartum hemorrhage. Balloon tamponade showed a higher success rate of 94%, as compared to 78%, in the uterine packing group, with least morbidity and lower intervention rates.

PDF file: 

IJMCE RECOMMENDATION

ONLINE PAYPAL PAYMENT

CURRENT ISSUE

NEWS

CHIEF EDITOR
Rosane Cavalcante Fragoso, Brasil
ASSOCIATE CHIEF EDITOR

   

Jean-Marc SABATIER
Chief Scientific Officer and Head of a Research Group
France

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

EDITORIAL BOARD

Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran