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직장으로 투여한 Misoprostol 에 의해 조절된 산후 출혈 2 예
한성태(Seong Tae Han),정석희(Seok Hee Jung),나연화(Yeon Hwa La),서정래(Jung Lae Seo),정우철(Woo Chuel Jung),이성원(Sung Won Lee),조용(Yong Cho),노의선(Eu Sun Ro) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.4
Obstetrical hemorrhage is one of the deadly triad, along with hypertensive disorder in pregnancy and infection. Postpartum hemorrhage is the major cause of obstetrical hemorrhage. Uterine atony is the most common cause of postpartum hemorrhage, and resulted from poor uterine contraction after delivery of the fetus and placenta. Initial management to control postpartum uterine atonic bleeding is based on the use of uterotonics such as well known oxytocin and ergot preparations together with uterine massage. Prostaglandin E2 analogue, sulprostone can be used next when these agents are failed to produce uterine contraction. The woman unresponsive to non-surgical managements requires surgical interventions including emergency hysterectomy. Recently prostaglandin E1 analogue, misoprostol, has been known to elicit potent uterine contraction and cervical ripening after oral, vaginal or rectal administration. We have experienced two cases of postpartum uterine atonic bleedings which were unresponsive to oxytocin, ergot, or prostaglandin E2, but were successfully controlled by rectal administration of misoprostols.