Preoperative and Postoperative Sublingual Misoprostol for Prevention of Postpartum Blood Loss in Cesarean Section

Comparison Between Preoperative and Postoperative Sublingual Misoprostol for Prevention of Postpartum Blood Loss in Cesarean Section : a Randomized Clinical Trial

Cesarean section is one of the most common major surgical operations among women. In 2015, the incidence of cesarean section in Woman Health Hospital in Assiut University accounts for 51.3 % of all deliveries

Inclusion Criteria:

• All pregnant women who will undergo elective lower segment cesarean section
• term ( ≥ 37 weeks)
• normal fetal heart tracing.

Exclusion Criteria:

• Placenta previa-Rupture uterus
• Classical cesarean section
• Preterm delivery
• Hypertensive disorders of pregnancy
• Bleeding tendency
• Previous history of postpartum hemorrhage
• Concurrent anticoagulant therapy
• Concurrent long-term use of steroids
• Fetal distress
• Antepartum haemorrhage