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Carbetocin Versus Syntometrine in Obese Women Undergoing Elective Cesarean

Sponsor:
Collaborators:
Information provided by (Responsible Party):
Ahmed Samy aly ashour,Cairo University
September 27, 2018
October 3, 2018
October 3, 2018
October 1, 2018
November 30, 2018   (Final data collection date for primary outcome measure)
incidence of postpartum hemorrhage after CS[ Time Frame: 24 hours ]
Number of participants experienced massive postpartum hemorrhage

Same as current
  • side effects of drugs used[ Time Frame: 24 hours ]
    GIT side effects as nausea , vomiting
 

Carbetocin Versus Syntometrine in Obese Women Undergoing Elective Cesarean

Carbetocin Versus Syntometrine for Prevention of Postpartum Hemorrhage in Obese Women Undergoing Elective Cesarean Delivery

to compare effectiveness and tolerability of carbetocin versus syntometrine in prevention of Postpartum hemorrhage after cesarean section

A double blind randomized study conducted on 400 obese pregnant subjected randomly either to single 100 μg IV dose of carbetocin (200 women) or combination of 5 IU oxytocin and 0.2 mg ergometrine (200 women) after fetal extraction and before placental removal. Prevention of postpartum haemorrhage (PPH) after cesarean section (CS) had been evaluated by measurement of drop of Hemoglobin and hematocrit, incidence of PPH and number of subjects needed additional oxytocic
Interventional
Phase 4
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
Masking: Interventional
Masking Description:
Primary Purpose: Prevention
  • Drug: carbetocin
    single 100 µg IV dose of carbetocin diluted in 10 ml of Ringer's lactate solution (Pabal, Ferring Pharmaceuticals Ltd, West Drayton, UK).
  • Drug: Syntometrine
    received combination of 5 IU oxytocin (Syntocinon®, Novartis, Basel, Switzerland) and 0.2 mg ergometrine (Methergin®,Novartis).
  • Experimental: carbetocin
    200 women received single 100 µg IV dose of carbetocin diluted in 10 ml of Ringer's lactate solution (Pabal, Ferring Pharmaceuticals Ltd, West Drayton, UK).
  • Active Comparator: Syntometrine
    200 women received combination of 5 IU oxytocin (Syntocinon®, Novartis, Basel, Switzerland) and 0.2 mg ergometrine (Methergin®,Novartis).
 
Not yet recruiting
400
Same as current
December 1, 2018
November 30, 2018   (Final data collection date for primary outcome measure)
Inclusion Criteria: - All participants are at 37 - 40 weeks of gestational age - Noncomplicated pregnancy. - obese women with BMI > 30. Exclusion Criteria: - Participants with placenta previa, - coagulopathy, - preeclamptic - known sensitivity to carbetocin,oxytocin or methergine were excluded
Sexes Eligible for Study: Female
N/A and older   (Adult, Older Adult)
No
 
 
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD:
Ahmed Samy aly ashour,Cairo University
Cairo University
Principal Investigator: AHMED SAMY, MD Cairo University
Cairo University
October 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP
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