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Database Evaluating Outcomes of Using Carbetocin as the Primary Uterotonic Following Cesarean Delivery

Completed
Conditions
Carbetocin
Uterotonics
Uterine Atony With Hemorrhage
Cesarean Section Complications
Registration Number
NCT03959436
Lead Sponsor
Maisonneuve-Rosemont Hospital
Brief Summary

Carbetocin (Duratocin®) is a long-acting form of oxytocin, with a half-life almost 10 times longer. Studies have demonstrated that carbetocin diminishes the need for secondary uterotonic agents compared to oxytocin for cesarean delivery (CD). Despite certain Canadian guidelines recommending its use for elective CD, several Canadian centers and other countries have not adopted carbetocin. The purpose of this study is to prospectively gather electronic data on all CDs over a one year period, elective and emergent, in a single institution, and to evaluate the efficacy and other clinical outcomes when carbetocin is used as a first line uterotonic for all CDs. A database using Microsoft Dynamics CRM is available on smart phones and tablets. Data regarding additional uterotonic use and impact of carbetocin use during CD on intra and postoperative outcomes are gathered and analyzed. The primary outcome is the use of additional uterotonics in this population compared to that described in the literature for oxytocin as the primary uterotonic.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
612
Inclusion Criteria
  • All Cesarean deliveries in the operating room.
Exclusion Criteria
  • Vaginal deliveries and double set-up vaginal deliveries conducted in the operating room.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Use of additional uterotonics24 hours

The number of participants requiring additional uterotonics after using carbetocin as the initial uterotonic

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Maisonneuve-Rosemont hospital

🇨🇦

Montreal, Quebec, Canada

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