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Oxytocin Administration in the Third Stage of Labour - A Study of Appropriate Route and Dose

Phase 4
Completed
Conditions
Third Stage of Labour
Interventions
Registration Number
NCT00200252
Lead Sponsor
Memorial University of Newfoundland
Brief Summary

Mothers are given the medication oxytocin after birth to help the uterus (womb) contract and therefore reduce blood loss. In Canada, oxytocin is given either into the muscle of the thigh or into a vein. However, it is not known which route is better.This study will test which dose and route of oxytocin is best in reducing blood loss following vaginal delivery.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
300
Inclusion Criteria
  • women 19 years and older
  • singleton pregnancy
  • 32 weeks gestation
  • spontaneous vaginal delivery
Exclusion Criteria
  • previous postpartum hemorrhage
  • placenta previa
  • grand multiparity (>4)
  • anticoagulation therapy
  • delivery prior to 32 weeks gestation
  • operative vaginal delivery
  • antepartum hemorrhage > 20 weeks
  • hemoglobin <10g/dL
  • multiple gestation
  • intrauterine death

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
group Aoxytocinwomen in group A will receive oxytocin 5 uts IM
group Boxytocinwomen in group B will receive 10 uts oxytocin IM
group Coxytocinwomen in group C will receive oxytocin 5 uts IV
Primary Outcome Measures
NameTimeMethod
change in hematocrit
Secondary Outcome Measures
NameTimeMethod
estimated blood loss
postpartum hemorrhage (estimated blood loss > 500cc)
severe postpartum hemorrhage (estimated blood loss > 1000cc)
incidence of hypotension
length of third stage of labour
need for blood transfusion
incidence of retained placenta
need for dilatation and curettage
need for hysterectomy
need for additional oxytocics after delivery
postpartum antibiotic use
maternal satisfaction
bleeding needing readmission

Trial Locations

Locations (1)

Women's Health Centre, Eastern Health

🇨🇦

St. John's, Newfoundland and Labrador, Canada

Women's Health Centre, Eastern Health
🇨🇦St. John's, Newfoundland and Labrador, Canada
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