Comparison of the Effect of Carbetocin Versus Oxytocin in the Prevention of Postpartum Hemorrhage After Emergency Caesarean Section in Antenatal Low-risk Patients
EMERGE-CS
1 other identifier
interventional
300
1 country
2
Brief Summary
This study will be conducted to compare the effects of pabal and oxytocin administered to prevent postpartum hemorrhage in patients who were followed in the delivery room due to vaginal labor but underwent cesarean section due to emergency situations.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2024
Shorter than P25 for not_applicable
2 active sites
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
October 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 4, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
August 4, 2025
CompletedFirst Submitted
Initial submission to the registry
January 18, 2026
CompletedFirst Posted
Study publicly available on registry
February 2, 2026
CompletedFebruary 13, 2026
February 1, 2026
10 months
January 18, 2026
February 12, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Postoperative change in hemoglobin at 24 hours
Change in hemoglobin (g/dL) from preoperative baseline to the lowest hemoglobin value within 24 hours after emergency cesarean delivery, compared between the carbetocin and oxytocin groups.
Baseline (preoperative) and within 24 hours after emergency cesarean delivery
Secondary Outcomes (2)
Need for additional uterotonic agents
Within 24 hours after cesarean delivery
Postoperative change in hematocrit at 24 hours
Baseline (preoperative) and within 24 hours after emergency cesarean delivery
Study Arms (2)
Oxytocin
ACTIVE COMPARATORStandard oxytocin regimen after delivery (uterotonic prophylaxis at emergency cesarean)
carbetocin
EXPERIMENTALCarbetocin administered as a single dose immediately after delivery during emergency cesarean section for prophylaxis of postpartum hemorrhage
Interventions
Carbetocin administered as a single dose immediately after delivery during emergency cesarean section for prophylaxis of postpartum hemorrhage
Oxytocin administered per institutional standard regimen immediately after delivery during emergency cesarean section for prophylaxis of postpartum hemorrhage
Eligibility Criteria
You may qualify if:
- Term pregnancy (\>37 weeks gestation)
- Singleton pregnancy
- Vertex presentation
- not having had a cesarean section before
- emergency cesarean delivery (category 1)
- low risk for postpartum hemorrhage
You may not qualify if:
- Non-term pregnancy (\< 37 weeks gestation)
- Non- vertex presentation
- antenatal high risk pregnancy for postpartum hemorrhage (preeclampsia/eclampsia, previous uterine surgery, placental anomalies)
- Twin pregnancy
- Elective cesarean section planned
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Etlik City Hospital
Ankara, Yenimahalle, 06010, Turkey (Türkiye)
Etlik City Hospital
Ankara, Yenimahalle, 06170, Turkey (Türkiye)
Related Publications (1)
Razali N, Md Latar IL, Chan YK, Omar SZ, Tan PC. Carbetocin compared to oxytocin in emergency cesarean section: a randomized trial. Eur J Obstet Gynecol Reprod Biol. 2016 Mar;198:35-39. doi: 10.1016/j.ejogrb.2015.12.017. Epub 2015 Dec 30.
PMID: 26773246RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
TAHİR ERYILMAZ, M.D. Dr.
Ankara Etlik City Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Gynecology and Obstetrics M.D. specialist
Study Record Dates
First Submitted
January 18, 2026
First Posted
February 2, 2026
Study Start
October 1, 2024
Primary Completion
August 4, 2025
Study Completion
August 4, 2025
Last Updated
February 13, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share