Bilateral Uterine Artery Ligation in Reducing Incidence of Postpartum Hemorrhage in Cesarean Section

Post Partum Hemorrhage Clinical Trial

Official title:

Role of Bilateral Uterine Artery Ligation in Reducing Incidence of Postpartum Hemorrhage in Cesarean Section in Patients At Risk of Uterine Atony A Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03591679
• Other study ID #: BUALCS
• Status: Completed
• Phase: N/A
• Start date: December 1, 2017
• Est. completion date: January 1, 2019

Study information

• Verified date: March 2019
• Source: Assiut University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The patients were recruited from women attending labor ward to undergo cesarean section.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1070
• Est. completion date: January 1, 2019
• Est. primary completion date: November 30, 2018
• Accepts healthy volunteers: No
• Gender: Female
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Women with one or more of the following conditions undergoing cesarean section for obstetric indication were included:

• Maternal anemia (not less than 7 gm %).

• Macrosomic baby >4kgs.

• Twin pregnancy and high order pregnancy.

• Polyhydramnios.

• Grand multipara.

• Previous history of atonic postpartum hemorrhage.

• Prolonged vaginal delivery.

• Emergency cesarean.

• Chorioamnionitis.

Exclusion Criteria:

• - Placenta previa.

• Patients with bleeding tendency (congenital or acquired)

• Ante-partum hemorrhage.

• Patients with no risk for uterine atony.

Related Conditions & MeSH terms

• Hemorrhage
• Post Partum Hemorrhage
• Postpartum Hemorrhage

Intervention

Drug:
• Oxytocin
20 units by slow intravenous drip injection

Procedure:
• bilateral uterine artery ligation
• The peritoneum over the vesico-uterine pouch already being incised horizontally, the peritoneum over the uterine isthmus and cervix was dissected downwards, and this dissection was then extended laterally.

Locations

Country	Name	City	State
Egypt	Ahmed Abbas	Assiut	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	mean Blood loss after placental separation	by using weight of soaked towels (weight of soaked towel - weight of dry towel) and amount of blood in suction set	30 minutes