Perinatal Care

COCHRANE SYSTEMATIC REVIEW: Uterine massage for preventing postpartum haemorrhage
Implications for practice: Unknown effectiveness due to insufficient or inadequate data
Review Overview: Heavy bleeding following childbirth (postpartum haemorrhage) is a preventable cause of maternal mortality. Only one trial of 200 women was found for this review. The results indicated that uterine massage after childbirth reduced blood loss and the need for additional uterotonics that stimulate the muscular tone of the uterus. Although only based on one small trial, these results support the 2004 joint statement of the International Confederation of Midwives and the International Federation of Gynaecologists and Obstetricians.
LINK to Cochrane Library: Issue 3 2008