The investigators are planning to determine the effect of the timing of oxytocin administration on the amount of blood loss, necessity for additional medical or surgical interventions.
The investigators are studying the effects of the timing of intramuscular oxytocin administration in the third stage of labour. The investigators are measuring the postpartum blood loss: quantitatively in the postpartum 1st hour and indirectly by the decrease in the hemoglobin-haematocrit levels in the postpartum 24th hour. The investigators are monitoring the length of the third stage of labour, and the need for extra uterotonics and/or surgical interventions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
330
Oxytocin 10IU Administered intramuscularly.
Kanuni Sultan Suleyman Teaching and Research Hospital
Istanbul, Turkey (Türkiye)
RECRUITINGPostpartum blood loss
Quantitative collection of blood loss.
Time frame: Participants will be followed for the duration of hospital stay, an expected average of 24 hour
Postpartum blood loss >500cc
Number of participants whose blood loss is higher than 500cc.
Time frame: Participants will be followed for the duration of hospital stay, an expected average of 24 hour
Need for additional uterotonics
Additional uterotonics (Oxytocin 10IU; Cytotec tb Rectal and/or vaginal) were administered if postpartum blood loss \>500ml OR uterine atony was observed OR sudden excessive hemorrhage was encountered.
Time frame: Participants will be followed for the duration of hospital stay, an expected average of 24 hour
Postpartum transfusion
Time frame: Participants will be followed for the duration of hospital stay, an expected average of 24 hour.
Manual removal of the placenta.
Time frame: At first hour after delivery of the fetus
Duration of the third stage of labour.
Time frame: Participants will be followed for the duration of labor unit stay, an expected average of one hour
Drop in the hemoglobin and hematocrit levels
Time frame: At the 24th hour,postpartum
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