Health Condition 1: O721- Other immediate postpartum hemorrhage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women with gestational age more than 28 weeks and at low risk , undergoing vaginal delivery. 2. Patients having the ability and willingness to provide an informed consent.
Exclusion criteria
Exclusion criteria: 1. Hb under 8gm 2. Previous pregnancy associated with PPH. 3. Patient with traumatic PPH due to genital laceration. 4. Antepartum haemorrhage. 5. Multiple pregnancies. 6. Non-cephalic presentation. 7. Multipara, big baby, fibroid uterus, polyhydramnios 8. Previous LSCS 9. Hypertension, pre-eclampsia or pregnancy induced hypertension. 10. Intra uterine death. 11. Seizures, diabetes, renal anomalies, cardiac arrest or coagulation disorders. 12. Choriamnionitis 13. Polyhydraminos. 14. Epidural anaesthesia. 15. Bronchial asthma or respiratory disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To measure the blood loss in the third stage of labour by changes in the level of haemoglobin and haematocrit after comparing these in both pre-delivery and on day 2 post-delivery of two intervention groups. 2. To assess need of additional uterotonics or surgical methods for the control of postpartum haemorrhage Timepoint: 1. To measure the blood loss in the third stage of labour by changes in the level of haemoglobin and haematocrit after comparing these in both pre-delivery-baseline and post-delivery at day 2 and on discharge of two intervention groups. 2. To assess need of additional uterotonics or surgical methods for the control of postpartum haemorrhage post delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To ascertain the side effects of the IM oxytocin & oral misoprostol 2. Need of blood transfusion Timepoint: To be decided at the time of discharge on day 2 after delivery of baby | — |
Countries
India
Contacts
Dr D Y Patil Medical College and Hospital and research centre, Pimpri , Pune