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- DOI 10.18231/j.ijogr.v.12.i.3.6
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Methylergometrine role in clinical practice
Postpartum haemorrhage (PPH) is a major cause of morbidity and mortality, with uterine atony accounting for 70-80% of all haemorrhages. According to the experts, the incidence of PPH ranges from 3% to 5%. The most common causes include uterine atony, laceration, accidental haemorrhage, and abnormal placentation. Factors that increase the risk of PPH include advanced age, assisted reproduction technology, and advanced age-associated co-morbidities. Even though guidelines recommend oxytocin as the first option, experts consider methylergometrine to be the ideal uterotonic in clinical practice in case of either normal vaginal or C-section delivery. The current consensus article aims to provide a collation of evidence-based literature and clinical insights from the experts on epidemiology, risk factors, and predictors of PPH. The article also provides a consensus on the role of methylergometrine (methylergonovine) in the management of PPH. Overall, methylergometrine alone or in combination with oxytocin is among the first-line drugs for the management of PPH with a favourable safety profile and cost-effectiveness.
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How to Cite This Article
Vancouver
Dhore M, Munshi A, Gaitonde M, Chaudhary N, Gala M, Muchhala S, Kotak B. Methylergometrine role in clinical practice [Internet]. Indian J Obstet Gynecol Res. 2025 [cited 2025 Oct 03];12(3):392-399. Available from: https://doi.org/10.18231/j.ijogr.v.12.i.3.6
APA
Dhore, M., Munshi, A., Gaitonde, M., Chaudhary, N., Gala, M., Muchhala, S., Kotak, B. (2025). Methylergometrine role in clinical practice. Indian J Obstet Gynecol Res, 12(3), 392-399. https://doi.org/10.18231/j.ijogr.v.12.i.3.6
MLA
Dhore, Mayank, Munshi, Atul, Gaitonde, Milind, Chaudhary, Ninad, Gala, Monil, Muchhala, Snehal, Kotak, Bhavesh. "Methylergometrine role in clinical practice." Indian J Obstet Gynecol Res, vol. 12, no. 3, 2025, pp. 392-399. https://doi.org/10.18231/j.ijogr.v.12.i.3.6
Chicago
Dhore, M., Munshi, A., Gaitonde, M., Chaudhary, N., Gala, M., Muchhala, S., Kotak, B.. "Methylergometrine role in clinical practice." Indian J Obstet Gynecol Res 12, no. 3 (2025): 392-399. https://doi.org/10.18231/j.ijogr.v.12.i.3.6