Mostafa Maged Maneuver in Comparison With Bimanual Uterine Compression to Control Post-partum Hemorrhage

Post-partum Hemorrhage Clinical Trial

Official title:

Mostafa Maged Maneuver in Comparison With Bimanual Uterine Compression to Control Post-partum Hemorrhage

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06002256
• Other study ID #: 598
• Status: Completed
• Phase: N/A
• Start date: August 15, 2023
• Est. completion date: December 15, 2023

Study information

• Verified date: January 2024
• Source: Ministry of Health and Population, Egypt
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The current study aimed to investigate the effectiveness of the Mostafa Maged maneuver compared to Bimanual uterine compression in controlling postpartum hemorrhage during vaginal delivery. The study subjects were categorized into two groups. The first group was managed by the Mostafa Maged maneuver , whereas the second group was managed by routine bimanual uterine compression. investigators attempted to determine the duration of each maneuver required until the investigator became exhausted, as well as whether or not oxytocin was administered later in each maneuver .

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: December 15, 2023
• Est. primary completion date: December 15, 2023
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• female and pregnant

Exclusion Criteria:

• hematological diseases morbid obese smoking

Related Conditions & MeSH terms

• Hemorrhage
• Post-partum Hemorrhage
• Postpartum Hemorrhage

Intervention

Procedure:
• Mostafa Maged maneuver
While the patient is on the lithotomy position , The first step in the Mostafa Maged maneuveur step is placing the right hand to the posterior fornix of vaginal canal trying to put pressure on the cervix and the lower part of uterus compressing the anterior and posterior walls of the lower uterine segment. The second point is placing the left hand over the fundus of the uterus and the posterior wall of the uterus from the abdominal part of the pregnant mother (the side of the abdominal skin). The third step is trying to grasp the whole uterus by the two hands abdominally and vaginally against the symphysis pubis as if the uterus is containing or surrounding the symphysis pubis bone, and in this way, getting the anterior and posterior walls of the uterus against each other (compression achieved)
• Bimanual uterine compression
the clinician places one hand on the abdomen and the other hand inside the vagina then compresses the uterus between the two hands.

Locations

Country	Name	City	State
Egypt	Fayoum general hospital and al azhar university	Cairo	Cairo And Fayoum

Sponsors (2)

Lead Sponsor	Collaborator
Ministry of Health and Population, Egypt	Al-Azhar University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Good hemostasis and achieving the uterus contracted	no post-partum hemorrhage , we assess this by the amount of bleeding going down and by the atonic status of the uterus at that time	first 3 hours
Primary	obstetrician does not feel fatigued	no exhaustion for the obstetrician , and this outcome is told by the investigators themselves	during applying the maneuver