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A Randomized Trial Comparing Oxytocin and Oxytocin + Ergometrine for Prevention of Postpartum Haemorrhage at Caesarean Section

Not Applicable
Completed
Conditions
Prevention of Post Partum Haemorrhage
Interventions
Registration Number
NCT02046499
Lead Sponsor
University of Pretoria
Brief Summary

This is a randomized trial comparing oxytocin versus oxytocin + syntometrine in the prevention of post partum haemorrhage in patients undergoing caesarean section

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
540
Inclusion Criteria
  • Pregnant women delivering by caesarean section older than 18 years willing and able to give informed consent
Exclusion Criteria
  • • Women not willing or women not able to provide consent

    • Women who have a classical caesarean section
    • Women younger than 18 years of age
    • Women with any of the following conditions will be excluded (ergometrine contra-indicated in patients with these conditions).
    • Pre- eclampsia
    • Eclampsia,
    • Uncontrolled hypertension (hypertension defined as systolic blood pressure more than 140 mm Hg and diastolic blood pressure more than 90 mm Hg)
    • Any cardiac lesion
    • Impaired liver function
    • Impaired kidney function
    • Hypersensitivity to any of the active ingredients of the preparations that will be used (Syntometrine® or Syntocinon®)
    • Occlusive vascular disease
    • Autoimmune vasculitis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Oxytocin + syntometrineOxytocin ergometrineOxytocin plus syntometrine administered
Oxytocin armOxytocinOxytocin alone administered which is current standard of care
Primary Outcome Measures
NameTimeMethod
Blood loss60 minutes

Estimated blood loss at caesarean section

Secondary Outcome Measures
NameTimeMethod
Side effects of oxytocin compared to oxytocin + ergometrine24 hours

Compare side effects experienced by women administered oxytocin compared to oxytocin plus ergometrine

Need for additional uterotonics60 minutes

To determine the need for additional uterotonics to treat post partum haemorrhage

Number of units blood transfused24 hours

Compare the number of units blood required for transfusion between the two arms

Trial Locations

Locations (1)

Kalafong Academic Hospital

🇿🇦

Pretoria, Gauteng, South Africa

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