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临床试验/NCT06684080
NCT06684080尚未招募不适用

A Cluster Randomized Trial on the Effectiveness of a Care Bundle to Prevent Postpartum Hemorrhage After Cesarean Delivery (Re-Team)

Dunjin Chen0 个研究点目标入组 52,000 人开始时间: 2025年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
52,000
主要终点
Incidence of PPH

研究概览

简要总结

Delays in the detection or inconsistent use of effective interventions of postpartum hemorrhage can result in complications or death. We designed a cluster-randomized trial to assess a multi-component strategy for the detection and treatment of postpartum hemorrhage after cesarean delivery.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

性别
Female
接受健康志愿者

入选标准

  • Hospital level
  • Public hospitals
  • There are more than 100 cesarean deliveries per year
  • Patient level
  • Cesarean delivery
  • Sign informed consent

排除标准

  • Hospital level
  • Data verification information cannot be provided
  • Pregnant woman level
  • No blood routine results within 2 weeks before surgery

结局指标

主要结局

Incidence of PPH

时间窗: Day 2

defined by a calculated estimated blood loss \> 1000 mL \[Calculated estimated blood loss = estimated blood volume × (preoperative hematocrit - postoperative hematocrit)/preoperative hematocrit (where estimated blood volume (mL) = weight (Kg) × 85)\] or red blood cell (RBC) transfusion before day 2 postpartum .

次要结局

  • mean total calculated blood loss(Day 2)
  • Estimated blood loss(postpartum 24 hours)
  • Incidence of postpartum transfusion(baseline)
  • Incidence of additional operations performed outside cesarean section(baseline)
  • Incidence of transfer to intensive care unit(baseline)
  • Incidence of maternal death from any cause(Up to 42 days)
  • The adherence to the treatment bundle(intraoperation and postpartum 24 hours)

研究者

发起方
Dunjin Chen
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Dunjin Chen

Principal Investigator

The Third Affiliated Hospital of Guangzhou Medical University

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