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4 th stage active managementFrom: hemant damle (damle1@hotmail.com)Thu Apr 22 20:37:26 2004
>From : Dr Hemant S. Damle Con Gynecologist S.N.246 D.P. Road End Aundh Pune7 India Tel : 9422032020 / 27297345 E Mail : damle1@hotmail.com To, All members and Ob/Gy friends During panel discussion I would like to highlight on concept of active management of fourth stage of labour. In most places around the world Oxytocin is used for active management of third stage in IV route. The half life of this drug is few minutes. So there is potential risk of atonic PPH after that. So we can give oral tablet of Methy Ergometrin or misoprostal(200microgram) to actively manage fourth stage of labour. Thanking You Yours Sincerely, Dr Hemant S. Damle
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