Mostafa Maged Maneuver in Comparison With Bimanual Uterine Compression to Control Post-partum Hemorrhage

NCT06002256 | Completed

• 1 other identifier: (598 ) , Al-Azhar university
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The current study aimed to investigate the effectiveness of the Mostafa Maged maneuver compared to Bimanual uterine compression in controlling postpartum hemorrhage during vaginal delivery. The study subjects were categorized into two groups. The first group was managed by the Mostafa Maged maneuver , whereas the second group was managed by routine bimanual uterine compression. investigators attempted to determine the duration of each maneuver required until the investigator became exhausted, as well as whether or not oxytocin was administered later in each maneuver .

Conditions

Post-partum Hemorrhage

Keywords

Mostafa Maged maneuver; Bimanual uterine compression; vaginal delivery; postpartum hemorrhage

Outcome Measures

Primary Outcomes (2)

• Good hemostasis and achieving the uterus contracted

  no post-partum hemorrhage , we assess this by the amount of bleeding going down and by the atonic status of the uterus at that time

  first 3 hours

• obstetrician does not feel fatigued

  no exhaustion for the obstetrician , and this outcome is told by the investigators themselves

  during applying the maneuver

Study Arms (2)

Group 1 : Mostafa Maged maneuver

ACTIVE COMPARATOR

The first step in the Mostafa Maged maneuveur step is placing the right hand to the posterior fornix of vaginal canal trying to put pressure on the cervix and the lower part of uterus compressing the anterior and posterior walls of the lower uterine segment. The second point is placing the left hand over the fundus of the uterus and the posterior wall of the uterus from the abdominal part of the pregnant mother (the side of the abdominal skin). The third step is trying to grasp the whole uterus by the two hands abdominally and vaginally against the symphysis pubis as if the uterus is containing or surrounding the symphysis pubis bone, and in this way, getting the anterior and posterior walls of the uterus against each other (compression achieved)

Procedure: Mostafa Maged maneuver

Group 2 : bimanual uterine compression

OTHER

Both maneuver s are performed immediately after the delivery of the placenta and foetus, with no uterotonics administered at the onset of these maneuver s. In the event of atony after hand release due to fatigue, 5 IU of oxytocin is administered intravenously as uterotonics. the clinician places one hand on the abdomen and the other hand inside the vagina then compresses the uterus between the two hands.

Procedure: Bimanual uterine compression

Interventions

Mostafa Maged maneuver PROCEDURE

While the patient is on the lithotomy position , The first step in the Mostafa Maged maneuveur step is placing the right hand to the posterior fornix of vaginal canal trying to put pressure on the cervix and the lower part of uterus compressing the anterior and posterior walls of the lower uterine segment. The second point is placing the left hand over the fundus of the uterus and the posterior wall of the uterus from the abdominal part of the pregnant mother (the side of the abdominal skin). The third step is trying to grasp the whole uterus by the two hands abdominally and vaginally against the symphysis pubis as if the uterus is containing or surrounding the symphysis pubis bone, and in this way, getting the anterior and posterior walls of the uterus against each other (compression achieved)

Group 1 : Mostafa Maged maneuver

Bimanual uterine compression PROCEDURE

the clinician places one hand on the abdomen and the other hand inside the vagina then compresses the uterus between the two hands.

Group 2 : bimanual uterine compression

Eligibility Criteria

• Age: 20 Years - 35 Years
• Gender Eligibility Details: Female pregnant
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- female and pregnant

You may not qualify if:

• hematological diseases morbid obese smoking

Sponsors & Collaborators

• Ministry of Health and Population, Egypt: lead
• Al-Azhar University: collaborator

Study Sites (1)

Fayoum general hospital and al azhar university

Cairo, Cairo and Fayoum, 0020, Egypt

Location

MeSH Terms

Conditions

Postpartum Hemorrhage

Condition Hierarchy (Ancestors)

Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Puerperal Disorders; Uterine Hemorrhage; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: August 6, 2023
• First Posted: August 21, 2023
• Study Start: July 5, 2023
• Primary Completion: October 20, 2023
• Study Completion: October 25, 2023
• Last Updated: July 23, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)