Postpartum Uterotonic Administration
The Effect of the Timing of Uterotonic Administration in the Third Stage of Labour on Postpartum Hemorrhage
1 other identifier
interventional
330
1 country
1
Brief Summary
The investigators are planning to determine the effect of the timing of oxytocin administration on the amount of blood loss, necessity for additional medical or surgical interventions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2014
CompletedFirst Submitted
Initial submission to the registry
April 9, 2015
CompletedFirst Posted
Study publicly available on registry
July 13, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedJuly 13, 2015
July 1, 2015
1.5 years
April 9, 2015
July 8, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Postpartum blood loss
Quantitative collection of blood loss.
Participants will be followed for the duration of hospital stay, an expected average of 24 hour
Postpartum blood loss >500cc
Number of participants whose blood loss is higher than 500cc.
Participants will be followed for the duration of hospital stay, an expected average of 24 hour
Secondary Outcomes (5)
Need for additional uterotonics
Participants will be followed for the duration of hospital stay, an expected average of 24 hour
Postpartum transfusion
Participants will be followed for the duration of hospital stay, an expected average of 24 hour.
Manual removal of the placenta.
At first hour after delivery of the fetus
Duration of the third stage of labour.
Participants will be followed for the duration of labor unit stay, an expected average of one hour
Drop in the hemoglobin and hematocrit levels
At the 24th hour,postpartum
Study Arms (2)
Control Group
ACTIVE COMPARATOROxytocin 10IU im was administered after placental delivery
Study Group
EXPERIMENTALOxytocin 10IU im was administered after the anterior shoulder could be seen.
Interventions
Oxytocin 10IU Administered intramuscularly.
Eligibility Criteria
You may qualify if:
- Cephalic presentation
- Singleton pregnancy
- Gestational age \>35 weeks,
- In active labour.
- Expected fetal birth weight 2500-4500 grams.
You may not qualify if:
- Acute Fetal Distress
- Conversion to abdominal delivery
- Persistent high blood pressure (\>140/90mmHg)
- Placenta Previa
- Ablatio placenta
- Previous C-Section
- Uterine scar
- Postpartum hemorrhage in previous pregnancies.
- Hydramnios
- Maternal infection
- Forceps/Vacuum Assisted deliveries
- Abnormal placentation ( Placenta accreta, increta or percreta)
- Coagulation Defects
- Hemoglobin \< 8g/dl
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Kanuni Sultan Suleyman Teaching and Research Hospital
Istanbul, 34303, Turkey (Türkiye)
Related Publications (1)
Oguz Orhan E, Dilbaz B, Aksakal SE, Altinbas S, Erkaya S. Prospective randomized trial of oxytocin administration for active management of the third stage of labor. Int J Gynaecol Obstet. 2014 Nov;127(2):175-9. doi: 10.1016/j.ijgo.2014.05.022. Epub 2014 Jul 17.
PMID: 25108586BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Burak Ozkose, MD
Kanuni Sultan Suleyman Teaching and Research Hospital, Istanbul
- PRINCIPAL INVESTIGATOR
Dogukan Yildirim, MD
Kanuni Sultan Suleyman Teaching and Research Hospital, Istanbul
- STUDY CHAIR
Eser S Ozyurek, MD
Bagcilar Training and Research Hospital
- STUDY CHAIR
Batuhan Ustun, MD
Kanuni Sultan Suleyman Teaching and Research Hospital, Istanbul
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
April 9, 2015
First Posted
July 13, 2015
Study Start
June 1, 2014
Primary Completion
December 1, 2015
Study Completion
January 1, 2016
Last Updated
July 13, 2015
Record last verified: 2015-07