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Evaluation of intrauterine balloon tamponade efficacy with condom catheter in the severe postpartum hemorrhage management in Benin and Mali

Evaluation of intrauterine balloon tamponade efficacy with condom catheter and misoprostol (usual treatment) compared to misoprostol alone in the severe postpartum management hemorrhage management in Benin and Mali: a randomized controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN01202389
Enrollment
110
Registered
2013-09-09
Start date
2013-10-14
Completion date
Unknown
Last updated
2017-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gynecology-obstetrical/severe postpartum hemorrhage Pregnancy and Childbirth Postpartum haemorrhage

Interventions

The first line of post-partum hemorrhage (PPH) management is an injection of oxytocin + the realisation of an uterine massage and a uterine revision. These 3 treatments have to be realised jointly. Th

Sponsors

Institute of Research for Development (Institut de Recherche pour le Développement) (IRD)
Lead Sponsor

Eligibility

Sex/Gender
Female

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

MeasureTime 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

MeasureTime 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

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026