Abstract
Background: Uterine massage may significantly reduce post partum blood loss and could be patient-driven. Objective: To assess the effectiveness of an alarm reminder system for self uterine massage in the prevention of post partum blood loss. Design: A random controlled trial. Setting: Meru District Hospital, Kenya. Subjects: One hundred and twenty seven (127) women were randomly assigned to a 15 minute alarm reminder system (71) and non-alarm (56) control arm during the fourth stage of labour. Results: Uterine massage compliance was better in the alarm group compared to the non-alarm group ( Average massage of seven and two in two hours respectively P-value <0.0001), however the difference in blood loss was not significant 45.6 ml (95% CI 43-46) vs 47.1 ml (95% CI 43-52)ml p-value 0.892. Conclusion: Uterine massage compliance is remarkably increased by the use of an alarm reminder.
| Original language | English (UK) |
|---|---|
| Pages (from-to) | 128-133 |
| Number of pages | 6 |
| Journal | East African Medical Journal |
| Volume | 89 |
| Issue number | 5 |
| Publication status | Published - May 2012 |