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Umbilical Vein Injection for 3rd Stage?
Manage episode 363996272 series 2280622
Content provided by Dr. Chapa’s Clinical Pearls. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Dr. Chapa’s Clinical Pearls or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
The 3rd stage of labor is the time from child's birth to delivery of the placenta. Delayed placental separation and expulsion is a potentially life-threatening event because it hinders expected postpartum uterine contraction, which can lead to PPH. The concept of umbilical vein injection of a variety of substances (saline, pitocin, plasma expanders) is nothing new. It was first described in the 1930s! This had found new life in the 1980s and 1990s but soon thereafter again fell into ambiguity. What is the theorized MOA of this intervention? Does oxytocin injection into the umbilical vein help prevent PPH? Is this an effective management option in the 3rd stage? We will walk down history's timelime and find out. We will also summarize the data of 2 Cochrane Reviews that have twice looked at this technique, with the last published report in 2021. Thank you Haley for the podcast topic suggestion!
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Manage episode 363996272 series 2280622
Content provided by Dr. Chapa’s Clinical Pearls. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Dr. Chapa’s Clinical Pearls or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
The 3rd stage of labor is the time from child's birth to delivery of the placenta. Delayed placental separation and expulsion is a potentially life-threatening event because it hinders expected postpartum uterine contraction, which can lead to PPH. The concept of umbilical vein injection of a variety of substances (saline, pitocin, plasma expanders) is nothing new. It was first described in the 1930s! This had found new life in the 1980s and 1990s but soon thereafter again fell into ambiguity. What is the theorized MOA of this intervention? Does oxytocin injection into the umbilical vein help prevent PPH? Is this an effective management option in the 3rd stage? We will walk down history's timelime and find out. We will also summarize the data of 2 Cochrane Reviews that have twice looked at this technique, with the last published report in 2021. Thank you Haley for the podcast topic suggestion!
…
continue reading
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Get in-depth coverage of current and future trends in technology, and how they are shaping business, entertainment, communications, science, politics, and society.
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continue reading
Unseeable forces control human behavior and shape our ideas, beliefs, and assumptions. Invisibilia—Latin for invisible things—fuses narrative storytelling with science that will make you see your own life differently.
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continue reading
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…
continue reading
Emergency Medicine Cases – Where the Experts Keep You in the Know. For show notes, quizzes, videos and more learning tools please visit emergencymedicinecases.com
…
continue reading
Artificial Intelligence has suddenly gone from the fringes of science to being everywhere. So how did we get here? And where's this all heading? In this new series of Science Friction, we're finding out.
…
continue reading
Hannah Fry and Dara O'Briain tackle listener's conundrums with the power of Science!
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…
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