Complications; Cesarean Section Clinical Trial
Official title:
A Randomized Trial to Determine the Best Strategy for the Control of Blood Loss at Elective Caesarean Section
trial of 3 protocols to determine the best one to control blood loss during caesarean section
The study population will be divided into 3 groups each containing 200 women:
Group (A): 200 patients will receive 5-IU oxytocin bolus over 3 minutes after delivery of
the baby.
Group (B): 200 patients will receive 5-IU oxytocin bolus over 3 minutes and 30-IU oxytocin
infusion in 500 ml 0.9 % saline over 4 hours after delivery of the baby.
Group (C): 200 patients will receive misoprostol 800 micrograms intrauterine, placed
manually on the bottom of the uterine cavity after delivery of the placenta and cleaning of
the cavity.
Operative blood loss will be estimated in theatre based on the volume in the suction bottle
and the weight of swabs used. We will record blood loss up until the time the woman will be
discharged from the theatre recovery ward.
Hemoglobin level and haematocrit value will be done as follow:-
1. After admission of each case in the pre-operative period.
2. Immediately post- operative.
3. 24 hours post- operative.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Prevention
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