A Randomized Trial Comparing Oxytocin and Oxytocin + Ergometrine for Prevention of Postpartum Haemorrhage at Caesarean Section

Inclusion Criteria: * Pregnant women delivering by caesarean section older than 18 years willing and able to give informed consent Exclusion Criteria: * • Women not willing or women not able to provide consent * Women who have a classical caesarean section * Women younger than 18 years of age * Women with any of the following conditions will be excluded (ergometrine contra-indicated in patients with these conditions). * Pre- eclampsia * Eclampsia, * Uncontrolled hypertension (hypertension defined as systolic blood pressure more than 140 mm Hg and diastolic blood pressure more than 90 mm Hg) * Any cardiac lesion * Impaired liver function * Impaired kidney function * Hypersensitivity to any of the active ingredients of the preparations that will be used (Syntometrine® or Syntocinon®) * Occlusive vascular disease * Autoimmune vasculitis