Prevention of Post Partum Haemorrhage
Conditions
Keywords
Prevention, post partum haemorrhage
Brief summary
This is a randomized trial comparing oxytocin versus oxytocin + syntometrine in the prevention of post partum haemorrhage in patients undergoing caesarean section
Interventions
Oxytocin will be administered intravenously as per standard protocol
Oxytocin ergometrine will be administered intra-musculalry
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women delivering by caesarean section older than 18 years willing and able to give informed consent
Exclusion criteria
* • Women not willing or women not able to provide consent * Women who have a classical caesarean section * Women younger than 18 years of age * Women with any of the following conditions will be excluded (ergometrine contra-indicated in patients with these conditions). * Pre- eclampsia * Eclampsia, * Uncontrolled hypertension (hypertension defined as systolic blood pressure more than 140 mm Hg and diastolic blood pressure more than 90 mm Hg) * Any cardiac lesion * Impaired liver function * Impaired kidney function * Hypersensitivity to any of the active ingredients of the preparations that will be used (Syntometrine® or Syntocinon®) * Occlusive vascular disease * Autoimmune vasculitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood loss | 60 minutes | Estimated blood loss at caesarean section |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Side effects of oxytocin compared to oxytocin + ergometrine | 24 hours | Compare side effects experienced by women administered oxytocin compared to oxytocin plus ergometrine |
| Need for additional uterotonics | 60 minutes | To determine the need for additional uterotonics to treat post partum haemorrhage |
| Number of units blood transfused | 24 hours | Compare the number of units blood required for transfusion between the two arms |
Countries
South Africa