The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Systematic review on variety of effective treatment methods for postpartum hemorrhage in Iran and world

Document Type : Review Article

Authors
Sahar Ghalandari 1
Nourossadat Kariman 2
Zohreh Sheikhan 3
Hadis Shahrahmani 1
Nayereh Asadi 1
1 M.Sc. student of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 M.Sc. of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
10.22038/ijogi.2016.7412
Abstract
Introduction: Postpartum hemorrhage (PPH) is the first cause of maternal mortality and morbidity in developing countries. Since treatment and prevention of postpartum hemorrhage is an essential step in the health of community and specially the health of women, many studies have been conducted on the effective treatment of PPH. This study was performed with aim to systematically review the studies about the medicinal and non-medicinal treatments of PPH in Iran and the world.
Methods: In this systematic review, the information was searched from databases of IRCT, Google Scholar, SID, Scopus, Pubmed and Science Direct with keywords of postpartum hemorrhage and clinical trial during 2000 to 2015. Then, the articles which obtained the score of ≥ 3 based on Jadad criteria were entered to the study. Data were analyzed qualitatively.
Results: Finally, 67 clinical trials involving 18 Iranian and 49 foreign articles which met inclusion criteria were investigated. Investigations indicated that there are very limited studies on herbal treatments while the studies on chemical treatments were numerous.
Conclusion: The results showed that oxytocin is the first line treatment used in PPH due to its less side effects and the next drug is misoprostol. Further studies are needed to clarify the effect of other drugs.
Keywords
Clinical trial
Postpartum Hemorrhage
Systematic review
Treatment
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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 19, Issue 15
July 2016
Pages 16-38