Bilateral Uterine Artery Ligation in Reducing Incidence of Postpartum Hemorrhage in Cesarean Section
NCT ID: NCT03591679
Last Updated: 2019-03-11
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
1070 participants
INTERVENTIONAL
2017-12-01
2019-01-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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study group
patients at risk of uterine atony undergoing cesarean section underwent bilateral uterine artery ligation and received oxytocin.
Oxytocin
20 units by slow intravenous drip injection
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.
control group
patients at risk of uterine atony undergoing cesarean section received oxytocin only.
Oxytocin
20 units by slow intravenous drip injection
Interventions
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Oxytocin
20 units by slow intravenous drip injection
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.
Eligibility Criteria
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Inclusion Criteria
* 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
* Patients with bleeding tendency (congenital or acquired)
* Ante-partum hemorrhage.
* Patients with no risk for uterine atony.
FEMALE
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Ahmed Mohamed Abbas
Principal investigator
Locations
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Ahmed Abbas
Assiut, Cairo Governorate, Egypt
Countries
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References
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Samy A, Ali MK, Abbas AM, Wahab HA, Wali AA, Hussien AH, Mostafa M, Taymour MA, Ogila AI, Ahmad Y, Essam A, Mahmoud M. Randomized controlled trial of the effect of bilateral uterine artery ligation during cesarean among women at risk of uterine atony. Int J Gynaecol Obstet. 2020 Feb;148(2):219-224. doi: 10.1002/ijgo.13064. Epub 2019 Dec 10.
Other Identifiers
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BUALCS
Identifier Type: -
Identifier Source: org_study_id
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