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CONFERENCE PROCEEDING
Cervical traction: A new effective method for postpartum hemorrhage
1
Ege University Faculty of Health Sciences, Midwifery Department, İzmir, Turkey
2
Faculty of Medicine- Ege University, Department of Obstetrics and Gynaecology, İzmir, Turkey
3
Democracy University Buca Seyfi Demirsoy Training and Research Hospital, Department of Obstetrics and Gynaecology, İzmir, Turkey
Eur J Midwifery 2026;10(Supplement 1):A621
ABSTRACT
BACKGROUND:
Active management of the third stage of labor is recommended for the prevention of postpartum hemorrhage.
OBJECTIVES:
Purpose of the research; to evaluate the effect of cervical traction to be applied at the end of the third stage of labor on oxytocin level and postpartum hemorrhage.
METHODS:
Research data were collected in the delivery room of a public hospital in Izmir. The study included 100 women in the intervention group and 100 women in the control group who gave birth vaginally, met the sample selection criteria, and agreed to participate in the study. During the research, data were collected by Introductory Information Form, Hemoglobin and Hematocrit Measurement, Calculation of Estimated Blood Loss, Oxytocin Measurement and measurement of bleeding amount with Bleeding Monitoring Bag. Descriptive statistical methods, chi square, independent t test, and dependent t test for repeated measurements were used to evaluate the data.
RESULTS:
The intervention and control groups were similar in sociodemographic characteristics, gestational age, BMI, mean gravida, and labor phase at admission (p>0.05). No significant difference was found between groups in prenatal hemoglobin and hematocrit levels (p>0.05); however, postpartum levels differed significantly (p<0.05). Blood loss calculated from hemoglobin and hematocrit changes was higher in the control group (869.41±269.29 mL) than in the intervention group (454.75±251.48 mL). The average blood volume in the Brass-V Drape during the first 15 minutes postpartum was significantly lower in the intervention group (24.66±17.54 mL) compared to the control group (202.95±74.96 mL). A significant increase in oxytocin levels was observed in the intervention group post-birth (p<0.05), while a decrease was noted in the control group (p<0.05).
CONCLUSIONS:
It has been determined that cervical traction increases the level of oxytocin and reduces the amount of postpartum hemorrhage. Cervical traction is an effective method to prevent and reduce the amount of postpartum hemorrhage.
KEY MESSAGE:
Cervical traction; oxytocin; postpartum hemorrhage Poster session 2 (Group A)
Active management of the third stage of labor is recommended for the prevention of postpartum hemorrhage.
OBJECTIVES:
Purpose of the research; to evaluate the effect of cervical traction to be applied at the end of the third stage of labor on oxytocin level and postpartum hemorrhage.
METHODS:
Research data were collected in the delivery room of a public hospital in Izmir. The study included 100 women in the intervention group and 100 women in the control group who gave birth vaginally, met the sample selection criteria, and agreed to participate in the study. During the research, data were collected by Introductory Information Form, Hemoglobin and Hematocrit Measurement, Calculation of Estimated Blood Loss, Oxytocin Measurement and measurement of bleeding amount with Bleeding Monitoring Bag. Descriptive statistical methods, chi square, independent t test, and dependent t test for repeated measurements were used to evaluate the data.
RESULTS:
The intervention and control groups were similar in sociodemographic characteristics, gestational age, BMI, mean gravida, and labor phase at admission (p>0.05). No significant difference was found between groups in prenatal hemoglobin and hematocrit levels (p>0.05); however, postpartum levels differed significantly (p<0.05). Blood loss calculated from hemoglobin and hematocrit changes was higher in the control group (869.41±269.29 mL) than in the intervention group (454.75±251.48 mL). The average blood volume in the Brass-V Drape during the first 15 minutes postpartum was significantly lower in the intervention group (24.66±17.54 mL) compared to the control group (202.95±74.96 mL). A significant increase in oxytocin levels was observed in the intervention group post-birth (p<0.05), while a decrease was noted in the control group (p<0.05).
CONCLUSIONS:
It has been determined that cervical traction increases the level of oxytocin and reduces the amount of postpartum hemorrhage. Cervical traction is an effective method to prevent and reduce the amount of postpartum hemorrhage.
KEY MESSAGE:
Cervical traction; oxytocin; postpartum hemorrhage Poster session 2 (Group A)
| eISSN: | 2585-2906 |
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