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Rectal misoprostol and oxytocin versus oxytocin only in preventing postpartum haemorrhage

Efficacy and safety of rectal misoprostol and oxytocin versus oxytocin only in preventing postpartum haemorrhage in at-risk women in Asaba: a double-blind randomized controlled trial

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
PACTR
Registry ID
PACTR202512770937526
Enrollment
114
Registered
2025-12-17
Start date
2025-12-04
Completion date
Unknown
Last updated
2026-09-14

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

Conditions

Primary postpartum haemorrhage

Interventions

Rectal misoprostol plus oxytocin infusion
oxytocin infusion plus placebo

Sponsors

Nwosa Amechi Augustine
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: Grand multiparity -Polyhydramnios -Fetal macrosomia -Chorioamnionitis -Precipitate labour -Previous PPH -Induced/ Augmented labour -Use of magnesium sulphate -Maternal age>35yrs -Medical conditions e.g. diabetes mellitus and hypertensive disorders of pregnancy.

Exclusion criteria

Exclusion criteria: haematocrit < 30% -presenting in 2nd and 3rd stages of labour -perineal and cervical lacerations -women without risk factor for uterine atony - contraindications to prostaglandin use

Design outcomes

Primary

MeasureTime frame
proportion of women with post-partum blood loss of equal to or > 500ml.

Secondary

MeasureTime frame
significant change in pre- and post-delivery haematocrit -the need for additional uterotonics -the need for blood transfusion . -the need for ICU admission -side effects of medications like pyrexia and shivering

Countries

Nigeria

Contacts

Public ContactAmechi Nwosa

Senior Registrar

drmechosky@gmail.com+2348033508794

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026