Health Condition 1: O721- Other immediate postpartum hemorrhage Health Condition 2: O720- Third-stage hemorrhage
Conditions
Interventions
Intervention1: Rectal misoprostol: Patients belonging to group 1 will be given 2 tablets of 200 microgram misoprostol per rectally just before giving skin incision in caesarean section.
Intervention2
Sponsors
IPGMER
Eligibility
Inclusion criteria
Inclusion criteria: Term pregnancy, singleton pregnancy, scheduled for elective lower segment caesarean section under spinal anaesthesia.
Exclusion criteria
Exclusion criteria: Hb% < 10 gm%, multifetal gestation, antepartum haemorrhage, polyhydramnios, two or more previous caesarean section, hypertension in pregnancy, history of heart, liver and renal disorder, active thromboembolic disease or previous history of thromboembolism, hypersensitivity to prostaglandins.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood loss within 2hours of birth: The suction bottle is changed following delivery of baby and blood loss is measured from the amount of blood collected in suction bottle plus weight of wet mops and drapings- weight of dry mops and drapings (assuming density 1gm /cc)plus blood loss every 15 minutes within 2hours after delivery from the weight of wet sanitary pads - weight of dry sanitary pads (assuming density 1gm /cc) Timepoint: 2 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Blood loss within 24hrs of birth at every moment the women discard sanitary pads (weight of wet sanitary pad minus weight of dry sanitary pad),2. Hemoglobulin and hematocrit before delivery and 24 hours after delivery, 3.Maternal death, maternal critical care unit admission, major surgical or invasive procedure, blood transfusion.Timepoint: 24 hours | — |
Countries
India
Contacts
Public ContactDr Anubrata Pharikal
IPGMER
Outcome results
None listed