2.3. Measurements
excessive hemorrhage, hemorrhage, bleeding, intraoperative bleeding
HEMORRHAGE, BLEEDING, INTRAOPERATIVE BLEEDING
As an additional uterotonic agent, an IV push of 5 IU of oxytocin and 0.2 mg methylergonovine maleate were administered intramuscularly (IM) to cases with excessive hemorrhage during cesarean section. The decision related to excessive hemorrhage during a cesarean was made by the responsible obstetrician who performed the surgery. A visible excessive bleeding, and a rapid increase in aspiration fluid were defined as excessive hemorrhage.Two methods were used to measure the amount of intraoperative bleeding during cesarean section in all cases: (1) preoperative and immediate postoperative weights of compresses and sponges used to absorb intraoperative bleeding were weighed, and 1 g of the weight difference was converted to milliliters to be 1 mL; and (2) intraoperatively aspirated bleeding and aspiration fluid including amniotic fluid were measured and the estimated amniotic fluid amount (measured by ultrasonography just before cesarean section) was subtracted from this fluid. Thus, the sum of both methods was evaluated as intraoperative bleeding.All cases were evaluated with obstetric USG before cesarean section. The fetal position, estimated fetal weight, placental localization, and estimated amount of amniotic fluid were measured. The height and weight of all cases were measured before cesarean section, and the body mass index (BMI) was calculated using these values (kg/m