Effects of Oxytocin on Bleeding Outcomes During Dilation and Evacuation

NCT ID: NCT02083809

Last Updated: 2020-11-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

166 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2018-02-28

Brief Summary

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Currently, there is very little research to identify ways to decrease blood loss during D\&E (dilation and evacuation) procedures. The objective is to determine whether routine use of intravenous oxytocin will improve bleeding outcomes at the time of D\&E at 18-24-weeks gestation. To evaluate the hypothesis, investigators will perform a randomized, double-blinded, placebo-controlled trial. The patient will be followed until discharged from the postoperative care unit during which time patient satisfaction, pain score and postoperative bleeding will be assessed.

Detailed Description

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Conditions

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Abortion Dilation and Evacuation Hemorrhage Blood Loss

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

500ml saline or lactated ringer without oxytocin added

Group Type PLACEBO_COMPARATOR

Intravenous Fluids and Electrolytes

Intervention Type DRUG

500 ml of inert IV fluid

Treatment group

Intravenous oxytocin mixed with saline or lactated ringer

Group Type ACTIVE_COMPARATOR

intravenous oxytocin

Intervention Type DRUG

30 units of oxytocin added to 500ml of inert IV fluid (saline, lactated ringer)

Interventions

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intravenous oxytocin

30 units of oxytocin added to 500ml of inert IV fluid (saline, lactated ringer)

Intervention Type DRUG

Intravenous Fluids and Electrolytes

500 ml of inert IV fluid

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Requesting pregnancy termination
* Intrauterine pregnancy at 18- to 24-weeks gestation
* Gestational-age to be confirmed by ultrasound
* Patients with fetal anomaly or intrauterine fetal demise that occurred at 18- to 24-weeks gestation
* Willing and able to understand and sign written informed consents in English or Spanish and comply with study procedures

Exclusion Criteria

* Ultrasound findings suggestive of placenta accreta
* Patients requiring preoperative misoprostol
Minimum Eligible Age

14 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Society of Family Planning

OTHER

Sponsor Role collaborator

University of Washington

OTHER

Sponsor Role collaborator

University of Hawaii

OTHER

Sponsor Role lead

Responsible Party

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Bliss Kaneshiro

Professor of Obstetrics & Gynecology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Hawaii

Honolulu, Hawaii, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Whitehouse K, Tschann M, Soon R, Davis J, Micks E, Salcedo J, Savala M, Kaneshiro B. Effects of Prophylactic Oxytocin on Bleeding Outcomes in Women Undergoing Dilation and Evacuation: A Randomized Controlled Trial. Obstet Gynecol. 2019 Mar;133(3):484-491. doi: 10.1097/AOG.0000000000003104.

Reference Type DERIVED
PMID: 30741801 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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OxyDE

Identifier Type: -

Identifier Source: org_study_id