Cesarean Section, High Risk Pregnancy, Postpartum Hemorrhage
Conditions
Brief summary
Objective: study efficacy of carbtocin versus oxytocin for prevention postpartum hemorrhage in high risk pregnancy who undergo cesarean section
Detailed description
Randomized controlled clinical trial. Defined patient in two group. Primary outcome is evaluate additional drug use Secondary outcome is evaluated estimated blood loss, hemoglobin level
Interventions
carbetocin 100 mcg + RLS solution 10 ml injected directly into the vein over 2 min
oxytocin 20 IU diluted in 1000 ml of RLS solution administered intravenously at rate 120 ml/hr x 8 hr
Sponsors
Study design
Eligibility
Inclusion criteria
* previous history of postpartum hemorrhage * polyhydramnios * fetal macrosomia * previous cesarean section * grand multiparity * intramural myoma * chorioamnionitis * prolonged premature rupture of membrane * augmentation of labour
Exclusion criteria
* pregnancy induce hypertension * on anticoagulant * placenta previa or placenta percreta
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Additional drug use | during intra-operation | Number of additional drug use after intervention drug |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Estimate blood loss | During intra-opeartion and acute post operation period as 24 hours post operation | amount of blood loss |
| Side effect | During intra-opeartion and acute post operation period as 24 hours post operation | type of side effect |
| Hemoglobin level | Pre-operation and 24 hours post operation | differentiation of hemoglobin |
Countries
Thailand