Control of Postpartum Bleeding by Rectal Misoprostols: A Report of 3 Cases.

Lee, Sang Eun; Hwang, Seong Ook; Kho, Seung Kwon; Cho, Sook; Lim, Mun Hwan; Lee, Woo Young

Case Report

Korean Journal of Obstetrics & Gynecology 1999;42(8):1857-1859.
Published online January 1, 2001.

Control of Postpartum Bleeding by Rectal Misoprostols: A Report of 3 Cases.

Sang Eun Lee, Seong Ook Hwang, Seung Kwon Kho, Sook Cho, Mun Hwan Lim, Woo Young Lee

Abstract

Postpartum hemorrhage is an important cause of maternal mortality and morbidity. Especially uterine atony is the most common cause of postpartum hemorrhage. Conventional method to control postpartum uterine atonic bleeding is based on the use of oxytocin and ergot preparations. Prostaglandin F2alpha analogue such as carboprost can be used to promote contraction when these agents fail to produce uterine contraction. Prostaglandin E1 analogue, misoprostol has uterotonic effect by oral or vaginal administration. They are used to induce labor and first or mid trimester abortion. In postpartum uterine atonic bleeding, misoprostols cannot be used via oral or vaginal route. Recently we have experienced that postpartum uterine atonic bleedings unresponsive to conventional methods were controlled by rectal misoprostols. So we report these cases with a brief review of literatures.

Key Words: Postpartum hemorrhage, Misoprostol

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