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International Day of the Midwife
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Conference Programme + Recordings
Proctoclysis, or rectal fluid infusion, is a low-resource and effective method for use in out-of-hospital environments, should fluid replacement therapy become necessary. Use of proctoclysis during war times was ineffective for certain casualties, but when
administered in a timely fashion it served to rehabilitate the subject until other therapies could begin (blood transfusion, surgery, intravenous(IV) therapy, etc.). The examination of several studies provides an understanding that the rectal colon readily absorbs fluids, electrolytes, and even drugs across its mucosa. Validating its use for fluid replacement therapy in emergent situations where IV access is unavailable or difficult.
Midwifes are often in out-of-hospital environments and/or working in certain state jurisdictions that prevent them from using IV fluid replacement when postpartum hemorrhage, hyperemesis, or dehydration warrant the use of fluid replacement therapy. This presentation explains why rectal fluid infusion is an easy and effective method to accomplish fluid replacement therapy
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