title: REMINDER SYSTEMS FOR SELF UTERINE MASSAGE IN THE PREVENTION OF POSTPARTUM BLOOD LOSS.
abstract: BACKGROUND
  Uterine massage may significantly reduce post partum blood loss and could be patient-driven.
  
  
  OBJECTIVE
  To assess the effectiveness of an alarm reminder system for self uterine massage in the prevention of post partum blood loss.
  
  
  METHODS
  A random controlled trial.
  
  
  METHODS
  Meru District Hospital, Kenya.
  
  
  METHODS
  One hundred and twenty seven (127) women were randomly assigned to a 15 minute alarm reminder system (71) and non-alarm (56) control arm during the fourth stage of labour.
  
  
  RESULTS
  Uterine massage compliance was better in the alarm group compared to the non-alarm group (Average massage of seven and two in two hours respectively P-value <0.0001), however the difference in blood loss was not significant 45.6 ml (95% CI 43-46) vs 47.1 ml (95% CI 43-52)ml p-value 0.892.
  
  
  CONCLUSIONS
  Uterine massage compliance is remarkably increased by the use of an alarm reminder.
authors: Resident Obsterics and Gynaecology, Aga Khan Univesity Hospital, P.O. Box 30270-00100,Nairobi.
authors: S K
authors: SK
authors: Ngichabe
authors: B W
authors: BW
authors: Gatinu
authors: M A
authors: MA
authors: Nyangore
authors: R
authors: R
authors: Karuga
authors: S Z
authors: SZ
authors: Wanyonyi
authors: J N
authors: JN
authors: Kiarie
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007630:Kenya; D008405:Massage; D010349:Patient Compliance; D011181:Postnatal Care; D006473:Postpartum Hemorrhage / Q000517:prevention & control*; D017010:Reminder Systems; D012648:Self Care; D055815:Young Adult