مقايسه اثر درمان با گلوكونات كلسيم و گلوكز هيپرتونيك وريدي در عارضه آتوني رحم در زايشگاه قدس زاهدان

A Comparison of the Therapeutic Effects of Treatment with Calcium Gluconate with Hypertonic Glucose in Patients with Atonic Uterine in Ghods Maternity Hospital in Zahedan, Iran

Postpartum hemorrhage is one of the three main factors in maternal mortality especially in developing countries. Improper uterine contraction following the labor is the most common cause of obstetric hemorrhage. This clinical trial was conducted to compare the therapeutic effects of two treatments: calcium gluconate and IV hypertonic glucose. 150 patients with atony following normal vaginal delivery (NVD) or cesarean (CLS) were divided into three groups: (1) taking both calcium gluconate and hypertonic glucose, (2) taking IV calcium gluconate and (3) taking IV hypertonic glucose. Beforehand, a complete history, physical examination and laboratory tests, if needed, were obtained to rule out diabetes, hypertension, or other physical/cardiovas cular disorders. Also, blood samples were obtained to determine the levels of calcium and glucose. The results of the treatment responses were as follows: (1) 80% in NVD; 60% in CLS and 70% total. (2) 76% in NVD; 52% in CLS and 64% total. (3) 73.3% in NVD; 46.7% in CLS and 60% total. It was finally concluded that the frequenty of treatment responses was higher in the group taking both calcium gluconate and hypertonic glucose. Also, it was higher in NVD patients.