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Misoprostol for Preventing Postpartum Hemorrhage

Not Applicable
Completed
Conditions
Postpartum Hemorrhage
Interventions
Drug: placebo
Registration Number
NCT00124540
Lead Sponsor
Gynuity Health Projects
Brief Summary

This hospital-based, multicenter, randomized, placebo-controlled trial will assess the effects of misoprostol as part of active management of the third stage of labor on postpartum blood loss, complications, and side effects. Twelve hundred eligible women will receive routine oxytocics (oxytocin 5-10 IU) plus either 400 mcg sublingual misoprostol or placebo during or immediately after delivery. The primary outcome will be measured blood loss of =\>500 mls within one hour after enrollment.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
1200
Inclusion Criteria
  • Women who have given birth to 1 or more live-born infants (para 1 or more)
  • Vaginal delivery
Exclusion Criteria
  • Refusal or inability to give informed consent
  • Delivery regarded as abortion according to local gestational age limits
  • Inability to take misoprostol sublingually
  • Cesarean section
  • Assisted vaginal delivery

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1placeboplacebo resembling misoprostol
2misoprostolmisoprostol
Primary Outcome Measures
NameTimeMethod
Blood loss =>500 mls within one hour after enrollment
Secondary Outcome Measures
NameTimeMethod
Blood loss =>1000 mls within one hour after enrollment
Mean blood loss after enrollment
Blood transfusion
Hemoglobin level <8 g/dL 24 hours after delivery
Maternal morbidity and mortality
Side effects

Trial Locations

Locations (5)

Mulago Hospital

πŸ‡ΊπŸ‡¬

Kampala, Uganda

Rob Ferreira Hospital

πŸ‡ΏπŸ‡¦

Nelspruit, South Africa

Dora Nginza Hospital

πŸ‡ΏπŸ‡¦

Port Elizabeth, South Africa

Tembisa Hospital

πŸ‡ΏπŸ‡¦

Johannesburg, South Africa

University College Hospital

πŸ‡³πŸ‡¬

Ibadan, Nigeria

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