Cesarean Section Complications Clinical Trial
Official title:
Clinical Characteristics and Perioperative Outcomes of Postpartum Hemorrhage in Patients Undergoing Cesarean Delivery
Postpartum haemorrhage is the common cause of maternal death worldwide. The primary purpose of this study is to identify the maternal outcomes after PPH. The highlighted outcome is the anesthetic management including rate of blood transfusion and incidence of patient experiencing massive blood transfusion. The secondary purposes of this study are amount of blood loss, causes of PPH and other outcomes that related to PPH such as the rate of hysterectomy and postoperative outcome eg. congestive heart failure, acute kidney injury and TRALI etc. Additionally, incidence of PPH will be studied. Data collection will be made to identify the cause of PPH, anesthetic techniques that may related to the amount of hemorrhage, medical treatment for PPH and neonatal outcomes. We also aim to obtain the rate of ICU admission and revealed the factors involving the ICU admission in PPH patients underwent cesarean delivery.
Status | Recruiting |
Enrollment | 420 |
Est. completion date | December 31, 2023 |
Est. primary completion date | December 31, 2023 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Patients underwent cesarean delivery with estimated blood loss equal or more than 1,000 ml Exclusion Criteria: - Cesarean delivery at less than 24 weeks of gestation - Patient chart that not contained primary outcome data eg. absent of the anesthetic record |
Country | Name | City | State |
---|---|---|---|
Thailand | Faculty of Medicine Siriraj Hospital | Bangkok |
Lead Sponsor | Collaborator |
---|---|
Mahidol University |
Thailand,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Rate of blood transfusion | Rate of blood transfusion in patients with postpartum haemorrhage | In operating theatre to 24 hour postoperatively | |
Primary | Rate of ICU admission | Patients with postpartum haemorrhage required admission in the ICU | From 0-24 hours postoperatively | |
Secondary | Amount of haemorrhage | Amount of blood loss after delivery | In operating theatre to 24 hour postoperatively | |
Secondary | Rate of hysterectomy | Rate of hysterectomy after postpartum hemorrhage | In operating theatre to 24 hour postoperatively | |
Secondary | Anesthetic technique | General anesthesia with endotracheal tube or regional anesthesia | In operating theatre to 24 hour postoperatively | |
Secondary | Rate of blood component administration | Rate of patients receiving FFP, cryoprecipitate or platelets | In operating theatre to 24 hour postoperatively | |
Secondary | Rate of Tranexamic acid administration | Rate of patients receiving Tranexamic acid | In operating theatre to 24 hour postoperatively | |
Secondary | Causes of postpartum hemorrhage | Identify causes of postpartum hemorrhage | In operating theatre to 24 hour postoperatively | |
Secondary | Factor associated ICU admission | Factor associated ICU admission after cesarean delivery with postpartum hemorrhage | In operating theatre to 24 hour postoperatively | |
Secondary | Rate of complications after postpartum haemorrhage | Rate of complications after postpartum haemorrhage eg. prolong intubation, congestive heart failure, acute kidney injury, transfusion-related acute lungs injury (TRALI) | 0-30 days postoperatively | |
Secondary | Maternal mortality rate | Report rate of maternal death | 0-30 days postoperatively | |
Secondary | Neonatal outcomes | Neonatal Apgar score | At 1 and 5 minutes after delivery |
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