Intravenous oxytocin dosing regimens for postpartum hemorrhage prevention at cesarean section: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Laura C. Phung ◽  
Elise K. Farrington ◽  
Mairead Connolly ◽  
Alyce N. Wilson ◽  
Brendan Carvalho ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Meta Analysis ◽  
Dosing Regimens

Is General Anesthesia for Cesarean Section Associated With Postpartum Hemorrhage? Systematic Review and Meta-Analysis

2014 ◽  
Vol 34 (3) ◽  
pp. 138-139
Author(s):  
M. Heesen ◽  
T. Hofmann ◽  
S. Klöhr ◽  
R. Rossaint ◽  
M. van de Velde ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Postpartum Hemorrhage ◽  
Meta Analysis

Intrauterine Cleaning after Placental Delivery at Cesarean Section: A systematic review and Meta-Analysis

2021 ◽  
Vol 17 ◽  
Author(s):  
Rana Doosti ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Parivash Ahmadpour ◽  
Mojgan Mirghafourvand
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Perioperative Complications ◽  
Meta Analysis ◽  
Experimental Studies ◽  
Secondary Outcome ◽  
Control Group ◽  
Significant Difference

Introduction: The increasing rate of cesarean section and its greater number of complications compared to vaginal childbirth invoke efforts to reduce perioperative complications through evidence-based techniques. Objective: The present study mainly aims to assess the effect of intrauterine cleaning after placental delivery in the cesarean section on the frequency of endometritis (primary outcome) and postpartum hemorrhage (secondary outcome). Material and Methods: In this systematic review we have followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Both English and Persian databases were searched (with no time limit) for clinical trials and quasi-experimental studies that had investigated the effect of intrauterine cleaning after placental delivery in the cesarean section on the frequency of endometritis and hemorrhage compared to a control group (no intrauterine cleaning). Results: The meta-analysis on three clinical trials with 696 participants showed no significant difference between intervention and control groups in the frequency of endometritis (RR= 1.33; 95% CI: 0.74 to 2.41; P= 0.34) and postpartum hemorrhage (RR= 1.06; 95% CI: 0.55 to 2.06; P= 0.86). Conclusions: Based on the meta-analysis results, intrauterine cleaning after placental delivery in the cesarean section does not affect endometritis and postpartum hemorrhage. Further and more robust studies based on the Consort Declaration are required to investigate this method to be recommended for use in clinical practice.

Motherwort injection for preventing postpartum hemorrhage in pregnant women with cesarean section: A systematic review and meta-analysis

2018 ◽  
Vol 11 (4) ◽  
pp. 252-260 ◽  
Author(s):  
Wenwen Chen ◽  
Jiajie Yu ◽  
Huan Tao ◽  
Yujia Cai ◽  
Youping Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Postpartum Hemorrhage ◽  
Meta Analysis

Maternal and Neonatal Effect of Fentanyl as a Premedication before Induction of General Anesthesia in Cesarean Surgery: A Systematic Review and Meta-analysis of Randomized Clinical Trials

2019 ◽  
Vol 15 (4) ◽  
pp. 232-237
Author(s):  
Mir Hadi Musavi ◽  
Behzad Jodeiri ◽  
Keyvan Mirnia ◽  
Morteza Ghojazadeh ◽  
Zeinab Nikniaz
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Apgar Score ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Intravenous Fentanyl ◽  
Neonatal Effect ◽  
Fentanyl Group

Background: Although, some clinical trials investigated the maternal and neonatal effect of fentanyl as a premedication before induction of general anesthesia in cesarean section, to the best of our knowledge, there is no systematic review to summarize these results. Objectives: The present systematic review and meta-analysis evaluated the maternal and neonatal effect of intravenous fentanyl as a premedication before induction of general anesthesia in cesarean section. Methods: The databases of Pubmed, Embase, Scopus and Cochrane library were searched till July 2017 to identify randomized clinical trials which evaluated the effects of intravenous fentanyl as a premedication before induction of general anesthesia compared with placebo on neonate first and fifth minute Apgar score and maternal heart rate and mean arterial pressure (MAP) in cesarean section. Standard Mean difference (SMD) was calculated and I-square statistic test was used for heterogeneity analysis. Results: The present systematic review and meta-analysis consisted of three clinical trials including 180 women in labor. Considering the results of meta-analysis, there is no significant differences between fentanyl and placebo in the case of Apgar score at 1 minute; however, the Apgar score of 5 minutes was significantly lower in fentanyl group compared with placebo (SMD -0.68, 95%CI: - 0.98, -0.38, p<0.001). In the term of maternal hemodynamics, the heart rate (SMD -0.43, 95%CI: - 0.72, -0.13, p=0.004) and MAP (SMD -0.78, 95% CI: -1.09, -0.48, p<0.001) in fentanyl group were significantly lower compared with placebo group. Conclusion: The present meta-analysis showed that using intravenous fentanyl as a premedication before induction of general anesthesia had adverse effects on neonate Apgar score. However, it had positive effects on preventing adverse consequences of intubation on maternal hemodynamics.

Uterine balloon tamponade for the treatment of postpartum hemorrhage: a systematic review and meta-analysis

2020 ◽  
Vol 222 (4) ◽  
pp. 293.e1-293.e52 ◽  
Author(s):  
Sebastian Suarez ◽  
Agustin Conde-Agudelo ◽  
Anderson Borovac-Pinheiro ◽  
Daniela Suarez-Rebling ◽  
Melody Eckardt ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postpartum Hemorrhage ◽  
Meta Analysis ◽  
Balloon Tamponade ◽  
Uterine Balloon Tamponade

The association of endometriosis with placenta previa and postpartum hemorrhage: a systematic review and meta-analysis

2021 ◽  
Vol 3 (5) ◽  
pp. 100417
Author(s):  
Shinya Matsuzaki ◽  
Yoshikazu Nagase ◽  
Yutaka Ueda ◽  
Misooja Lee ◽  
Satoko Matsuzaki ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postpartum Hemorrhage ◽  
Placenta Previa ◽  
Meta Analysis
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