Publication:

Prospective study to analyse effectiveness of Samartharam suction canula as a preventive strategy for postpartum haemorrhage in high-risk mothers at a teaching hospital over a period of one year

Background To analyse the effectiveness of Samartharam suction canula as a preventive strategy along with routine Active management of third stage of labour (AMTSL) in women who are high risk for pph. Incorporating SR canula along with routine AMSL might help in reducing the incidence of postpartum haemorrhage (PPH).

Methods This is a hospital based comparative prospective cross-sectional study, carried out among 150 high risk women for PPH who delivered vaginally in department of obstetrics and gynaecology, govt. Theni medical college and hospital, Theni between October 2020 to October 2021. All the women received 10 units of oxytocin IM at the appearance of anterior shoulder, or uterine massage and controlled cord traction. SR cannula was applied in 75women and in another 75 women all other uterotonics (oxytocin, misoprostol and tranexamic acid) for preventing PPH were used.

Results Mean age of the patients was observed in the age group of 21-30 years (SR suction canula=49, medical management=50). Comparison between SR suction canula and medical methods. In this study it was observed, in higher number of cases the bleeding stopped immediately and there was a significant reduction in the amount of blood loss and the need for blood transfusion. Whereas, bleeding stopped immediately only in lower numbers, in whom medical management alone was used.

Conclusions This study provides a promising insight, as a prophylactic strategy for prevention of atonic PPH for high-risk mothers.