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Comparison of Two Different Doses of Phenylephrine on Oxytocin Hemodynamic Effect

Effects of Two Different Doses of Phenylephrine co Administration on Oxytocin- Induced Hemodynamic Effects

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07420127
Enrollment
112
Registered
2026-02-19
Start date
2026-02-13
Completion date
2026-07-13
Last updated
2026-02-24

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

Conditions

Cesarean Birth, Phenylephrine

Keywords

Phenylephrine, Oxytocin induced hypotension

Brief summary

Cesarean section is one of the commonly performed surgical procedures in the world. Once baby is delivered during the surgical procedure anesthesiologist administer Oxytocin drug through IV cannula which helps the Uterus to contract so that excessive blood loss doesnt occur. But this is associated with fall in blood pressure frequently requiring administration of medications to treat low blood pressure. The most frequently used drug is phenylephrine which can administered along with oxytocin to prevent fall in blood pressure. This study will compare to different doses of Phenylephrine to prevent fall in blood pressure.

Detailed description

Cesarean section is one of the most commonly performed surgical procedures worldwide. Following delivery of the neonate, oxytocin is routinely administered intravenously to promote uterine contraction and thereby reduce the risk of postpartum hemorrhage. However, oxytocin administration is frequently associated with maternal hypotension, which may necessitate pharmacological intervention. Phenylephrine, a selective α-adrenergic agonist, is commonly used to prevent or treat oxytocin-induced hypotension due to its vasoconstrictive properties. The optimal prophylactic dose of phenylephrine administered concurrently with oxytocin remains uncertain. This study aims to compare two different doses of phenylephrine for the prevention of hypotension following oxytocin administration during cesarean section.

Interventions

DRUGPhenylephrine bolus 75 micrograms

After delivery of Baby during C section, patient will be administered 3 IU of Oxytocin over 3 minutes along with 75 micrograms of Phenylephrine Intravenously.

DRUGPhenylephrine bolus 50 micrograms

After delivery of Baby during C section, patient will be administered 3 IU of Oxytocin over 3 minutes along with 50 micrograms of Phenylephrine Intravenously.

Sponsors

Rawalpindi Medical College
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

\- Females having a singleton pregnancy Patients planned for elective cesarean section under spinal anesthesia

Exclusion criteria

* Patients having a placental abnormality * Patients taking beta-blocker and vasodilator therapy * Patients with hypertensive disorder

Design outcomes

Primary

MeasureTime frameDescription
Number of Hypotensive episodesNumber of hypotensive episodes occuring upto 10 minutes after administration of Oxytocin and PhenylephrineHypotension will be defined as fall in Mean Arterial pressure by more than 20% from baseline value.

Secondary

MeasureTime frame
Rescue Phenylephrine consumedThis will be the total amount of Phenylephrine consumed to treat the hypotensive episodes occuring upto 10 minutes after administration of Oxytocin and Phenylephrine

Countries

Pakistan

Contacts

CONTACTFarwa Javed Principal Investigator, MBBS
farwajaved44@gmail.com+92 304 8954091
STUDY_CHAIRJawad Zahir

Head of Department of Anesthesia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 25, 2026