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Reminder systems for self uterine massage in the prevention of postpartum blood loss
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.
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.
