Intravenous Versus Intramuscular Administration of Oxytocin and Its Relationship With Postpartum Bleeding and Other Clinical Signs: a Randomized Placebo-controlled Study
Overview
- Phase
- Phase 4
- Intervention
- IV Oxytocin + IM placebo
- Conditions
- Postpartum Hemorrhage
- Sponsor
- Gynuity Health Projects
- Enrollment
- 543
- Locations
- 1
- Primary Endpoint
- Amount of blood loss (mL)
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This double-blind, randomized controlled trial will evaluate the effect of the route of administration of 10 IU of oxytocin on the average blood loss postpartum. Participants will be randomized to receive 10 IU of oxytocin by IV infusion or 10 IU of oxytocin by injection IM
Investigators
Eligibility Criteria
Inclusion Criteria
- •She is present to give birth to a live fetus
- •Vaginal delivery
- •Willing to participate in the study
- •Able to give informed consent
Exclusion Criteria
- •Scheduled for a cesarean
- •Reject the placement of an IV during labor (for intravenous infusion)
- •Cannot give informed consent for any reason
- •Not willing and / or cannot answer questions about background
Arms & Interventions
IV Infusion
Oxytocin 10 IU, 500 ml IV infusion within 40 minutes + intra muscular injection of placebo, 10 IU
Intervention: IV Oxytocin + IM placebo
IM administration
Oxytocin 10 IU via intra muscular injection + Intravenously administered placebo, 10 IU, 500ml
Intervention: IM Oxytocin + IV placebo
Outcomes
Primary Outcomes
Amount of blood loss (mL)
Time Frame: 1 hour postpartum
Proportion of women who had postpartum blood loss ≥500 ml
Time Frame: 1 hour postpartum
Secondary Outcomes
- Average time required until expulsion of the placenta(1 hour postpartum)
- Heart rate(15, 30, 45 and 60 minutes postpartum)
- Proportion of women who had postpartum blood loss ≥1000 ml(1 hour postpartum)
- Average change in hemoglobin level(pre-delivery and at least 24 hours postpartum)
- Side effects(1 hour postpartum)
- Proportion who needed additional Interventions(Through study completion, an average of 24-48 hours postpartum)
- Blood pressure(15, 30, 45 and 60 minutes postpartum)