Mostafa Maged Maneuveur to Prevent and Control Post-partum Haemorrhage During Normal Vaginal Delivery
Condition: Post Partum Hemorrhage
MeSH terms: Postpartum Hemorrhage; Hemorrhage
Study type: Interventional

Summary: 
      PPH is commonly defined as blood loss exceeding 1000 milliliters after vaginal birth or
      cesarean section.1 PPH is often classified as primary/immediate/early (occurring within 24
      hours of birth) or secondary/delayed/late (occurring from more than 24 hours postbirth to up
      to 12 weeks postpartum)..

      Atonic post-partum haemorrhage is one of the most challenging complications of normal
      delivery process . There are many maneuveurs applied to the atonic uterus for controlling the
      blood loss and conserving the uterus from hysterectomy process . There are pharmacological
      and surgical methods to control the bleeding . In this study , Mostafa Maged technique is to
      prevent and control post-partum bleeding during vaginal delivery . It is so simple and
      not-costly method .
    

Detailed description: 
      In this study , Mostafa Maged technique to prevent and control post-partum bleeding during
      vaginal delivery . It is so simple and not-costly method . Mostafa Maged maneuveur has been
      applied to those all female patients to prevent or control post-partum bleeding in normal
      delivery . Mostafa Maged technique is applied by :- (Description of the Mostafa Maged
      technique) :-

        1. First , placing the right hand to the posterior fornix of vaginal canal trying to cuddle
           the lower part of uterus compressing the anterior and posterior walls of the uterus .

        2. Second , placing the left hand over the fundus of the uterus and the posterior wall of
           uterus from the abdominal part of the pregnant mother ( the side of the abdominal skin )
           .

        3. Third , by the two hands , trying to grasp the whole uterus by the two hands abdominally
           and vaginally against the symphysis pubis as if the uterus is cuddling the symphysis
           pubis bone and in this way , getting the anterior and posterior walls of the uterus
           against each other compressed is achieved and reducing the intra-cavitary space so
           prevention of the expansion of the uterus is applied .
    

Intervention name(s): Mostafa Maged maneuver
Intervention type(s): Procedure
Intervention description(s): The Mostafa Maged maneuveur has been applied to those all female patients to prevent or control post-partum bleeding in normal delivery . The Mostafa Maged technique is applied by :- (Description of the new Mostafa Maged technique) :-
First , placing our right hand to the posterior fornix of vaginal canal trying to cuddle the lower part of uterus compressing the anterior and posterior walls of the uterus .
Second , placing our left hand over the fundus of the uterus and the posterior wall of uterus from the abdominal part.
Third , by our two hands , trying to grasp the whole uterus by our two hands abdominally and vaginally against the symphysis pubis as if the uterus is cuddling the symphysis pubis bone and in this way , we try to get the anterior and posterior walls against each other and reducing the intra-cavitary space so we prevent the expansion of the uterus .
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: Mostafa Maged maneuver; Atony; normal delivery; postpartum bleeding