PREVENTION OF POST PARTUM HAEMORRHAGE BY RECTAL MISOPROSTOL. A RANDOMISED CONTROLLED TRIAL.

Results
450 women were randomised, 218 to the misoprostol group and 232 to the oxytocin group. 48 women were excluded from the study due to either caesarean section or hypersensitivity to prostaglandins or had initial haemoglobin <8mg %. After exclusion, 198 women received the study medication and 204 women received the control medication.
Table 1 describes the demographic characteristics of subjects while Table 2 describes the intraparum characteristics.

Table 1 Demographic Characteristics

Characteristic
Misoprostol group
n= 198
Oxytol in group
n= 204
p
Maternal age *(y)
23.5+/-4.3
23+/-4.9
0.280
Parity
Primapara*
Multyara*

93(47%)
105(53%)

98(48%)
106(52%)
0.830
Gestational age# (d)
277+/-28.7
272+/-31.2
0.059
Predelivery tib level# (g/dl)
11.1+/-2.3
11.2+/-2.7
0.344
Predelivery hematocrit #(%)
35+/-3.5
35.2+/-3.4
0.281
Anteparum blood transfusion*
2(1%)
3(1%)
0.173

Data are presented as mean + SD, unless otherwise indicated
*Not statistically significant deference among groups (p > 0.05) X2 (chi- square test)
#Not statistically significant deference among groups (p > 0.05) t-test (student test)

Table 2 Intrapartum Characteristics

Characteristic
Misoprostol group
n= 218
Oxytol in group
n= 232
p
Admitted in spontaneousLabour*
131(60%)
151(65%)
0.274
Required induction*
87(40%)
81(35%)
0.460
Route of delivery*
Vaginal
cls

196(90%)
22(10.1%)

207(89%)
252(11%)
0.812
Episiotomy#
11.1+/-1.3
11.2+/-2.6
0.301

Data are presented as mean + SD, unless otherwise indicated
*Not statistically significant deference among groups (p > 0.05) X2 (chi- square test)
#Not statistically significant deference among groups (p > 0.05) t-test (student test)

There were no significant differences between the groups with respect to their demographic or intrapartum characteristics.
The outcome measures of the trial treatment are described in Table 3.

Of the 402 women, 7% of the study subjects and 6% of the control subjects had postpartum haemorrhage (P=0.628). A comparison of the drop in Hb and hematocrit indicated that 1.4% of the study group and 1.3% of the control subjects had 10% drop in Hb from admission to day one postpartum (P=0.675).