postpartum hemorrhage. Postpartum care and examination
Conditions
Interventions
Intervention 1: 30 unite Syntometrine in 1 liter crystaloid 10cc /min after clamp of umbilical cord then 30 unite in 8 hours ,20 unite in 8 hours & then 10 unite in 8 hours later Syntometrine IV inf
Prevention
30 unite Syntometrine in 1 liter crystaloid 10cc /min after clamp of umbilical cord then 30 unite in 8 hours ,20 unite in 8 hours & then 10 unite in 8 hours later Syntometrine IV infusion
0.5 ml Carbetocin IV directly Equivalent 50 micro gram once after clamp of umbilical cord
Sponsors
Vice Chancellor for research, Zahedan University of Medical Science
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Inclusion criteria: Pregnant women with single pregnancy one previous cesarean section or primary cesarean and candidate for cesarean delivery & application of spinal anesthesia. 5- Exclusion criteria: Other reason of PPH except atonia; Presence of preeclampsia; hypotension; heart disease and asthma; Presence of risk factor of PPH such as uterine fibroid? previous myomectomy? placenta previa? past history of PPH? chorioamnionitis; fetal macrosomia and fetal malformations associated with polyhydramnios
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemoglobin level. Timepoint: Before and 6 and 12hours after cesarean delivery. Method of measurement: Hemoglobine assessment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Uterine tone. Timepoint: 2 and 12 and 24 hours after cesarean delivery. Method of measurement: Assessment of uterine tone.;Need to adminestration of utertonic drug. Timepoint: During 24 hours after cesarean delivery. Method of measurement: Dosage and amount of drug.;Adverse effects. Timepoint: During 24 hours after cesarean delivery. Method of measurement: Observation of adverse effects. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr Seyede Fatemeh Mahdavi Salimi
Emam Ali hospital
Outcome results
None listed