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Bilateral Uterine Artery Ligation in Reducing Incidence of Postpartum Hemorrhage in Cesarean Section

Not Applicable
Completed
Conditions
Post Partum Hemorrhage
Interventions
Procedure: bilateral uterine artery ligation
Registration Number
NCT03591679
Lead Sponsor
Assiut University
Brief Summary

The patients were recruited from women attending labor ward to undergo cesarean section.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
1070
Inclusion Criteria
  • Women with one or more of the following conditions undergoing cesarean section for obstetric indication were included:
  • Maternal anemia (not less than 7 gm %).
  • Macrosomic baby >4kgs.
  • Twin pregnancy and high order pregnancy.
  • Polyhydramnios.
  • Grand multipara.
  • Previous history of atonic postpartum hemorrhage.
  • Prolonged vaginal delivery.
  • Emergency cesarean.
  • Chorioamnionitis.
Exclusion Criteria
    • Placenta previa.
  • Patients with bleeding tendency (congenital or acquired)
  • Ante-partum hemorrhage.
  • Patients with no risk for uterine atony.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
study groupOxytocinpatients at risk of uterine atony undergoing cesarean section underwent bilateral uterine artery ligation and received oxytocin.
study groupbilateral uterine artery ligationpatients at risk of uterine atony undergoing cesarean section underwent bilateral uterine artery ligation and received oxytocin.
control groupOxytocinpatients at risk of uterine atony undergoing cesarean section received oxytocin only.
Primary Outcome Measures
NameTimeMethod
mean Blood loss after placental separation30 minutes

by using weight of soaked towels (weight of soaked towel - weight of dry towel) and amount of blood in suction set

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Ahmed Abbas

🇪🇬

Assiut, Cairo, Egypt

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