Postpartum haemorrhage (PPH)
Conditions
Interventions
Intervention group will receive anticipatory management protocol while the control group will receive standard management protocol. Standard management.
If visually assessed blood loss is ? 500ml or
Sponsors
Faculty of Medicine, Colombo
Eligibility
Inclusion criteria
Inclusion criteria: Giving birth after 36 Weeks of amenorrhea •Post-partum haemorrhage due to uterine atony (recognized by continuing bleeding not responding to uterine massage and excluding other causes after examination)
Exclusion criteria
Exclusion criteria: •Anomalies of hemostasis before labour •Anticoagulant treatment •Patients with death in utero fetuses •Diagnosed patients with placenta accreta or percreta
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Need for use of balloon tamponade to control PPH [Until 24hours postpartum] | — |
Secondary
| Measure | Time frame |
|---|---|
| • Percentage of women who did not develop PPH in the standard treatment arm • Need for additional intervention after initial PPH treatment • Use of additional doses of oxytocin/ ergometrine • Surgical interventions • Compressive sutures • Systematic pelvic devascularization (Uterine, Internal iliac artery ligation) • Hysterectomy • Change in hemoglobin from pre-delivery to postpartum • Receipt of blood transfusion Need for massive blood transfusion (>5 units of blood) • Maternal death [Until study subject is discharged from hospital] | — |
Countries
Sri Lanka
Contacts
Public ContactProf. Hemantha Senanayake
Outcome results
None listed