Bilateral Uterine Artery Ligation in Reducing Incidence of Postpartum Hemorrhage in Cesarean Section

N/ACompletedNCT03591679

Assiut University1,070 enrolled

Overview

The patients were recruited from women attending labor ward to undergo cesarean section.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

1,070

Conditions

Post Partum Hemorrhage

Interventions

OxytocinDRUG

20 units by slow intravenous drip injection

bilateral uterine artery ligationPROCEDURE

• 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

Sex: FEMALE

Medical Language ↔ Plain English

Inclusion Criteria: * Women with one or more of the following conditions undergoing cesarean section for obstetric indication were included: * 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: * \- Placenta previa. * Patients with bleeding tendency (congenital or acquired) * Ante-partum hemorrhage. * Patients with no risk for uterine atony.

Locations (1)

Ahmed Abbas

Assiut, Cairo Governorate, Egypt

Outcomes

Primary Outcomes

mean Blood loss after placental separation

by using weight of soaked towels (weight of soaked towel - weight of dry towel) and amount of blood in suction set

Time frame: 30 minutes

Data from ClinicalTrials.gov

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