Gynecology-obstetrical/severe postpartum hemorrhage Pregnancy and Childbirth Postpartum haemorrhage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Having given birth by vaginal way, in one of the selected establishments 2. After 28 weeks of amenorrhea, or foetus > 1000 g 3. Presenting a HPPI resisting the oxytocine and the first-line laborers (uterine massage + uterine revision) 4. Having given its oral consent
Exclusion criteria
Exclusion criteria: 1. Having given birth by caesarian 2. Presenting a contraindication or an allergy known about prostaglandins 3. Presenting an allergy to latex 4. Presenting a clinical Chorioamnionitis 5. Presenting a secondary postpartum hemorrhage, cervico-vaginal tears without uterine bleeding, an uterine break, or a placenta accreta
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is a composite outcome: individual recourse to an invasive surgery (arterial ligatures, uterine compressive sutures, hysterectomy of haemostasis) and/or maternal death before the hospital release | — |
Secondary
| Measure | Time frame |
|---|---|
| Each element of the composite primary outcome is related to the point 1 and 2 only. So the secondary outcomes are formed by the 2 elements of the primary outcome measured separately and we will also measure three other outcomes: bleedings>1000 mL, necessity of a transfusion, necessity of a transfer. 1. Invasive intervention rate (arterial ligatures, uterine compressive sutures or hysterectomy of haemostasis): number of women having received an invasive intervention divided by the number of women included 2. Hospital maternal mortality rate (number of women included in the study and died before the hospital release divided by the number of inclusive women) 3. Bleeding > 1000 mL. 4. Necessity of a transfusion 5. Necessity of a transfer | — |
Countries
Benin, Mali