Health Condition 1: O151- Eclampsia complicating labor Health Condition 2: O80- Encounter for full-term uncomplicated delivery Health Condition 3: O134- Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirth Health Condition 4: O335- Maternal care for disproportion due to unusually large fetus Health Condition 5: O140- Mild to moderate pre-eclampsia Health Condition 6: O403- Polyhydramnios, third trimester Health Condition 7: O630- Prolonged first s
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. They are beyond 32 weeks of gestational age 2. They have singleton pregnancy. 3. They present with cephalic presentation. 4. They have at least one risk factor for PPH of the following -Uterine over-distention (Polyhydramnios, suspected macrosomia) -Maternal disorders (Hypertensive disorders, Anaemia) -Prolonged Labour (more than 12 hours of labour in combined 1st and 2nd stage of labour) -Grand multipara -Primipara -Induction of labour
Exclusion criteria
Exclusion criteria: 1. Operative vaginal deliveries 2.Causes of traumatic PPH (Extensive vaginal lacerations,cervical tears) 3. patients with serious medical disorders like cardiovascular disorders, hepatic disorders, renal disorders, epilepsy, and coagulation disorders. 4. Known allergies to carbetocin or oxytocin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| proportion of cases with blood loss more than 500 ml in first 24 hours postpartum after primary intervention.(Carbetocin or Oxytocin)Timepoint: 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of cases needing additional uterotonicsafter primary intervention in first 24 hours postpartum.Timepoint: 24 hours | — |
Countries
India
Contacts
Maharaja Agrasen Medical College, Agroha,Hisar