Preventing Postpartum Hemorrhage after Caesarean Section with Scarred Uterus by Kagai Suppository Combined with Oxytocin and Its Effect on Coagulation Index
Objective To investigate the effect of Kagai suppository combined with oxytocin on the prevention of postpartum hemorrhage after caesarean sectionwith scarred uterus and its effect on coagulation index.Methods A total of 94 women with scar uterus who underwent cesarean section were randomly divided intoobservation group andcontrol group,with 47 cases in each group.In the control group,hemostasis was carried out by using oxytocin after cesarean section delivery;in the observation group,it was carried out by using Kagai suppository combined with oxytocin.The clinical effect,postpartum hemorrhage,coagulation index,and adverse reaction were compared between the two groups.Results Compared with the control group,the total effective rate of the observation group was higher;blood loss was significantly reduced at 2 and 24 h post-partum;the activated partial thromboplastin time(APTT)and prothrombin time(PT)were sig-nificantly shorter;the levels of D-dimer(D-D)and fibrinogen(FIB)were significantly higher;there was nostatistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Kagai suppository combined with oxytocinmay be effective in preventing postpartum hemorrhage in cesarean section with scarred uterus,which may be condu-cive to reducing postpartum hemorrhage and improving maternal coagulation function,and may have a high degree of safety.
scarred uteruscaesarean sectionpostpartum hemorrhagecard pregnancy suppositoryoxytocincoagulation index