pregnancy normal vaginal delivery Carbetocin Oxytocin normal vaginal delivery Postpartum hemorrhage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Thai pregnant woman 2. age at least 20 years old 3. Pregnancy age at least 34 weeks gestation 4. normal vaginal delvery 5. high risk for PPH including previous history of PPH, induction or augmentation of labour, tocolytic drug before delivery, prolonged active phase of labour, precipitate labour, grand multipara, overdistended uterus, uterine structural abnormality
Exclusion criteria
Exclusion criteria: 1. being active labour 2. Contraindication to carbetocin 3. allergy to oxytocin or carbetocin 4. obstetrics complication including preeclampsia and abnormal placentation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of postpartum hemorrhage 24 hours after normal vaginal delivery percentage of immediate postpartum hemorrhage | — |
Secondary
| Measure | Time frame |
|---|---|
| Additional uterotonic drug used after delivery 24 hours after normal vaginal delivery percentage of patient and dosage of additional uterotonic agents,Complication after delivery 24 hours after normal vaginal delivery percentage of Blood transfusion, ICU admission, Surgical management | — |
Contacts
Faculty of Medicine. Siriraj Hospital. Mahidol University