Postpartum Hemorrhage
Conditions
Keywords
postpartum hemorrhage, oxytocin, vaginal delivery, prophylactic
Brief summary
Intramuscular versus intravenous prophylactic oxytocin for the third stage of labour following vaginal delivery: A randomised controlled trial
Detailed description
Prevention of postpartum haemorrhage is essential in the pursuit of improved health care for women. In this study investigators aimed to compare intramuscular oxytocin with intravenous oxytocin for the routine prevention of postpartum haemorrhage in women who deliver vaginally.In some countries, intravenous access can not be provided easily . Intramuscular application is faster , easier and tougher enforcement requires less skill and equipment . For this reason, less educated , which can be applied by those offering health services .
Interventions
intarvenous and intramusculer 10 IU oxytocin
Sponsors
Study design
Eligibility
Inclusion criteria
1. Research volunteers, the undersigned, pregnant women 2. Only with vaginal delivery (episiotomy and perineal tears can) 3. \> 34 weeks or more will be 4. Cephalic presentation will be 5. At low risk of postpartum hemorrhage
Exclusion criteria
1. \<18 years 2. Multiple pregnancies 3. The presence of uterine myoma 4. Having postpartum hemorrhage in previous pregnancies 5. Placenta previa, polyhydramnios 6. More than four parity 7. Fetal macrosomia 8. Hb \<9mg/dl 9. preeclampsia 10. Uterine anomalies 11. Receiving anticoagulant therapy, suspected coagulopathy 12. \> 42 weeks of pregnancy 13. Oxytocin allergy -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| early postpartum hemorrhage | postpartum 24 hours | Blood loss during the birth and postpartum hemorrhage asset (within 24 hours\> 500 cc blood loss) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blood transfusion requirement | postpartum 24 hours | * Blood transfusion requirement * duration of phase 3 (\> 30 min) * necessity of additional treatments for postpartum hemorrhage * the necessity of manual removal of placenta * side effects of the |
Countries
Turkey (Türkiye)