Comparing the efficacy of dates and oxytocin in the management of postpartum hemorrhage

Abstract

Introduction: The aim of study was a comparison between dates and oxytocin in prevention of postpartum haemorrhage. In modern obstetrics, general trend to utilize non-aggressive treatment methods that is quite safe, cheap and few symptoms. Date fruit has Calcium, serotonin, tannin, glucose that they are important for bleeding control.

Materials and Methods: This study was performed in Imam Reza and Hazrat Zainab Hospitals, Mashhad University of Medical Science. It was clinical trial that was performed on 62 women delivered in hospital.
Immediately after placental delivery, 50 gram oral Deglet Noor dates (group 1) and 10 unit of intramuscular oxytocin (group 2) were given. At the same time a Plastic and a cotton sheet were widen under the patients and a pad was placed on the perineum to absorb blood or fluid. All pads were collected until 3 hour after placental delivery and were weighed every one hour. The difference, before and after weight was calculated.( 100 gram increase in weight was considered to be equivalent to 100 ml blood).

Result: Blood loss mean in the end of first hour after delivery were significantly different in dates and oxytocin groups (104 ml vs. 141.6 ml, p=0.043), But in second and third hour were not significant, although the bleeding in dates group was less. In whole three hours after delivery the blood loss mean in dates group was significantly less than oxytocin group (162.5 ml vs. 220.7, p=0.02).

Conclusions: Use of oral dates after delivery decreases bleeding more than intramuscular oxytocin and it´s a good alternative in normal delivery.

Key Words: postpartum haemorrhage, oxytocin, dates

Full text


In the name of God
Department of Internal Medicine
Shiraz E-Medical Journal
Vol. 8, No. 2, April 2007

Comparing the Efficacy of Dates and Oxytocin in the Management of
Postpartum Hemorrhage.
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<!"    !   3F 235
B<!
+!
 2=5) < (
"   " <  !
  !26(45. 
) G! ! #" 
< "  ! ! 
4>>       =7 <
<23485 $ < (
"  <  < 
 <    <
48 +< +" & 
+ +<    :+ :
 235&<  A(
  < ! !  !&
!!   306>    
<!!&+!<
!A!
  "  !& < ! (
& <   ! ! 
!&2@15
!  <
!!!&3>F
8F   +   <  
7>F 205 < < A  
!  !  "
+ & "   
+&  !!  
&  <! + A
 + !  !
 &    ! 
B<!!&  !+(< "
275.#<<!!:"
 A    +  (
3><!!<(
<"!!
!& + +!  20333=5. (
 <  A  (
 < ! ! "
H  &< !<  3>
<  A : !!  !
! < +   "<
!!   + &!
!  "  + 
  285 H  
< " + + (
&  !   (
: "   !! (
 205 9! <!  
!A!<&(
    &" &A 
<  !<  <
<"36    "!
 <!(""&
   B<   
+  "   (
<  $  ! 
$ 9<  "&"  
!!&
 !&   $ 2 
<5&==(=8 $<
    
I +
!& 2375
&   + < 
<!  <  < <
  &!!  +< (
&  !  !  +
:    <   
"  < "
<-
3( . <  ,!< 
 !!    (
!"
! =(. <  < "!<
      < 
65


<  "    ! 
     <!  <<
6( . <  ! < 
"+   !!   
< + & ! !" 
!&!!A&+
<  ! !& 2375.
7()!
"+&<
 +  <  <"
   "  
!&+A(
 +   "!! 
!!&+!

)<+  &(
 !! !  +   +
$ <& !  
  C  8   8=
+!&!
G&4>"."!
 !! 2"< 5 + 3> < (
<<! A 2"< '5  "(
  < "   
("!!&
 (A< ""  ! 
!"     + ."! 
  !" !  ! 
 & +!!
)   <
<+-"+=>(64 
"! 4"!"+
61(7= +: +  !&" < + (
!  ! +" (
+=4>>(7>>>""
    &"  (

 << "  &< (
!& (A  !
!" ! <<  (
 ( A  !" 
 !! !  <  
 "  !& 2( A (
!"!&
<   <  ""   A(
!<   5  < (
"  !"  !
+!! !  < <(
   + ! ! 
+ "< 9& < + !!
63 !   < "<  
<  63 !   +
"<   "    " 
! !  ! !&
4> "  ."!   !! +
"&   < "<  3> <
A    + "< 
   ! & + ! 
< !"  ++""
   <" ! !
 3>> "  3>>> "  
&< <!  < !&
9 "  &+"  
+  !& +  B<!
 3 ! ! '! <  <!
+!<"346>748>3=>
31><!&
      ""
+&+  &
&+  !<" ! (
   !   
&< !& + !!  ) (
&"!
     "
 ! + ! ( 
 + ! <"  ( B<
   + ! +
 <    <<! &
!<"2&335
66



) <!     
  "<  A "< +
  !<" " '$ <
!!<
)!!+"+!
 + "<- "  !&
 <   &! +
&<   !&  <<
 < ! + A(
< A(
&! + " A < 
!&!A+""!
     < "" 
<:" !   !"  <:"
)!3+!!&
<<+"<
"<! <<!&
!&"!"   
&(   "(
  A  <! !(
! !&   + 
+  !"  !&  
A "< 2D>>305 2H"
35
H"3-,&"!"
!!!&+"<
)!3-."!&<+"<
I!
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!"2+:5
.!&B<
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G"!2"5
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$<!<25
9<25
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67


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"
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D"&M>>4"
&"(
"("+"<
+
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< !&  +"<<(
   "   
!"     <   
"< + !   A "<
23>7 ! I 3738 ! D>>765  
   <  !& 
!"    " (
2 < D>>18 
< D>6=05  <    
 "< + !+    
<)&"  ! !"
<" 6 <  !&   +
"< + "  2D>>=5
+!+   "<
A"<238=4!I==>@
!5 H" =  6   !"
      < 
!!6<!&
H"=-,!"&"6<
!&+"<
H"6-HB<<<
!"6<!&+
<"<
&

)     "
 !&  + (
  A  < !"
  " A+
H"=  &"   !"  
 <  ! &"  ! !(
"<"6<!&
!+"<
A"<A
    "  !  (
68


 !"  "!!  (
23>3=345
"!<
    $!  2383@5
<(
  9"& 2315
:<  ! 230085   <"
! A  & 
<  !"  !&205
!2300@5<<
A("!
 !"   !215
) <  <<! "(
A   <   
&+ !<" A ! !" 
 0>>> +2335 ) 
<"+<(
&  A !  &"
< " 2) D 835 
 +    & 
& < "  
+ "!  <  &(
" 2 D 835  2 D
085   + &" "(
A245
 &+!<"3@<(
+(
< <  2 D ==5
"  + &" !
! +  + +
&"  ! <
"    ! +
!<&"2D@5
&" 2 D ==45  2 D
=415!&<2
D 315 !<" "!   (
&   < (
" <   !  : 
<!& !
&  < " 245
! < !   
!" !&
<
. <   
<" "   !& 
 !  . "
<<! !" !&
+!!  < < "
2=>5   + ! (
     !"  
&"
 !"      
<<
 <!<  &!   <!
 2=35 )   <
 ! "  + &!&
3F   +"   ."! 
 2== =65 )     (
!!" !" 2=75
"   A"   +
  !  #! 
2=4=85. !"
     (
=>(,!(
  !!   "- (
"! A  !
2=35 "! !   !
   < <! 
!" ! )A <
!! <<!  &! (
 <  < + (
 &!  A (
 A"     " (
  !" ! 2=35 .  
" ! !:  
!<  < + ! (
< +    + &
      "
!" & ! <(
"! N !& !" A(
&" <  +O ! 
: 235,!<! B< (
 <<!  2=3 =75 )
<<!! 4>! < I
69


>>0"I'3>3"I'=
>==")  3>> " 
 2=65
 !< <&&<<(
<  <  (
&<<(
"    "   
<<A

'(#
) < +  : .  
.$!

)
3(I$:<I)"!
<<<"-
+&?H!G$
=>>8P432=5-41(86
=(H,)!G?B<
Q<"-!
!("!,!9A#(
 !P=>>8-662=5-13(7
6()&(
<"+(
!)? !#=>>=P@8-@4(
@8
7(!.&'
<"-,$NH #
&=>>7(=>>8? !#P
=>>8
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$ !:&"(
<"-"""
!HP=>>8-@6285-3>=4(
1>
8(,<"H &?'!!
G!!==+Q:$,
+(!!=>>4
@(?!!9!R9&!<A(
<!!&<
("R)$+$
<&!3007
1((RA
"!-!!!
!R'?# !300@P3>72@5-@13(8
0(:<?. !R!(
!!!!"<
<"R !
3008I!2@45-787S81
3>(&!!G9!<.,!)
<A
""!<&(
&+&!!!'?
 !3011P04-6(38
33(&!!G9!<.+ $)
'!"!-R<R&<R(
!"!R""!(
<'$?3011P=0@-3=04S36>>
3=(9!#'$G!<
!!&(
<"'?# !300@P
3>7-668(0
36(!"??$"!(
"<"-
B<!!?!P
=>>8$1@245-466(7>
37(. "
)=>>3
34($,.!&!!G?9!<.
!&A
"!2,&+5)
,!<6#A-<(
+3001
38('<"!.!H<,<$
$!&<(
"? !#=>>3P@6-3(8
3@(<+)G$:H<::
$!&<A"
!!?<!#T =>>3P
@4-=64(73
31(.!R&<
A!&<
"R'?<!
!"&3008I!23>65-
3>81(@6
30(!)(
=>>3
=>(.!$!
@$< 301@
=3(.&G$$IG
+!!.! '
3007
==( !<,
.!<<!"(
<!<%9%&(
%93000
=6(.U:)%&
3006
70


=7(!!$H$,!
!!<!&"+
V"< <!
?<!3008P37265-8=0(
860
=4(<!.W$U&+(
<"X+Q:':
3008-6@>(@6
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Copyright © 2007 by Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. All rights reserved.
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