Postpartum Haemorrhage Clinical Trial
Official title:
Treatment of Postpartum Haemorrhage (PPH) Using Misoprostol in Home Births
A double-blind individual randomized controlled study of misoprostol vs. placebo for treatment in homebirths in the Chitral district, in the Khyber Pakhtunkhwa province in Pakistan.
A double-blind individual randomized controlled study of misoprostol vs. placebo for
treatment in homebirths in the Chitral district, in the Khyber Pakhtunkhwa province in
Pakistan. The purpose of the study is to assess the overall clinical and programmatic
effectiveness of Traditional Birth Attendants (TBAs) administering 800 mcg sublingual
misoprostol to treat Postpartum Haemorrhage (PPH) at the community level.
The study will recruit pregnant women who deliver at home. All women enrolled in the study
will receive misoprostol for prevention (600 mcg oral dose). Women diagnosed with PPH will
be randomized to receive either a) standard care + 800 mcg sublingual misoprostol (four 200
mcg tablets) or b) standard care + four placebo tablets resembling misoprostol. In this
setting, standard care is uterine massage and/or compression and referral to the nearest
health facility or attendance by the Lady Health Visitor/ Community Health Nurse.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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