摘要
In our medical practice, in particular obstetrics, it is difficult to change certain consolidated dogmas, but the necessity and the current situation of our obstetrical exercise pushed us to find new technical supports, to make the exercise of our specialty as stripped of pitfalls as possible. Our work is summarized in a prospective comparative study, aimed at evaluating the existence or not of a difference between the administration of oxytocin just before the hysterotomy in a cesarean section and its administration after fetal extraction. We used a set of criteria to include patients in our study. This study took place over a period of one year (2020) in the Mother and Child regional center, in Meknes Imperial city, Morocco, involving a total number of 364 patients. With a group A comprising 176 patients 48% (176/364) who received oxytocin just before the hysterotomy and a group B of 188 patients 52% (188/364) who received it classically after fetal extraction. The difference was very significant as detailed in the article. Conclusion: the very convincing results of our study and the difference between the two groups, allowed us to demonstrate the effectiveness of our process and to endorse its use in our routine practice, with the perspective of conducting a prospective randomized study on a larger series.
In our medical practice, in particular obstetrics, it is difficult to change certain consolidated dogmas, but the necessity and the current situation of our obstetrical exercise pushed us to find new technical supports, to make the exercise of our specialty as stripped of pitfalls as possible. Our work is summarized in a prospective comparative study, aimed at evaluating the existence or not of a difference between the administration of oxytocin just before the hysterotomy in a cesarean section and its administration after fetal extraction. We used a set of criteria to include patients in our study. This study took place over a period of one year (2020) in the Mother and Child regional center, in Meknes Imperial city, Morocco, involving a total number of 364 patients. With a group A comprising 176 patients 48% (176/364) who received oxytocin just before the hysterotomy and a group B of 188 patients 52% (188/364) who received it classically after fetal extraction. The difference was very significant as detailed in the article. Conclusion: the very convincing results of our study and the difference between the two groups, allowed us to demonstrate the effectiveness of our process and to endorse its use in our routine practice, with the perspective of conducting a prospective randomized study on a larger series.
作者
Loutfi Guennoun Abdelmounaim
A. Rjafallah
N. Nhiri
N. Biougnache
R. Benafitou
R. Barka
Y. Bouferma
S. Habib Rabbi
O. El Ayoubi
O. Alaoui
S. Mesnane
M. Khouchoua
S. Lafkir
Loutfi Guennoun Abdelmounaim;A. Rjafallah;N. Nhiri;N. Biougnache;R. Benafitou;R. Barka;Y. Bouferma;S. Habib Rabbi;O. El Ayoubi;O. Alaoui;S. Mesnane;M. Khouchoua;S. Lafkir(Gynecology and Obstetrics Department, Sidi Said Hospital, Meknes, Morocco;Gynecology and Obstetrics Department, Pagnon Hospital, Meknes, Morocco;Resuscitation Anesthesia Department, Pagnon Hospital, Meknes, Morocco;Head Nurse of Gynecology and Obstetrics Department, Pagnon Hospital, Meknes, Morocco;Head of the Admissions Department, Sidi Said Hospital, Meknes, Morocco;Master in Communication Moulay Ismail Meknes University, Meknes, Morocco;Medical Administration and Epidemiological Services, Meknes, Morocco)
