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To compare the efficacy of the route and timing of oxytocin administration for Active management of third stage of labour (AMTSL).
Our objective is to determine the most efficient route and timing of oxytocin administration by measuring the duration of third stage of labour, quantitative blood during the first hour after delivery and comparing haemoglobin and haematocrit changes and the need for additional interventions in patients who had either a spontaneous labour or received labour augmentation with oxytocin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intravenous & intramuscular oxytocin | Experimental | intravenous or intramuscular 10 iu oxytocin |
|
| after delivery & when anterior shoulder seen | Active Comparator | oxytocin 10 iu after the delivery of the fetus or when the anterior shoulder was seen after the fetal head was delivered |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intravenous & intramuscular oxytocin | Drug | intravenous or intramuscular 10 iu oxytocin |
|
| Measure | Description | Time Frame |
|---|---|---|
| postpartum bleeding in the third stage of labour | participants will be followed for the duration of hospital stay, an expected average of 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Berna DILBAZ, Assoc. Prof. | Etlik Zübeyde Hanım Women's Health Teaching and Research Hospital, Obstetrics and Gynecology, Ankara, Turkey , | Study Director |
| Emire OGUZ ORHAN, MD | Sivas State Hospital | Study Chair |
| Sezin ERTURK AKSAKAL, MD | Etlik Zübeyde Hanım Women's Health Teaching and Research Hospital, Obstetrics and Gynecology, Ankara, Turkey | Principal Investigator |
| Sibel ALTINBAS, Assist. Prof. | Hacettepe University Kastamonu Medical Faculty, Obstetrics and Gynecology, Ankara, Turkey, | Study Chair |
| Salim ERKAYA, Assoc. Prof. | Zekai Tahir Burak Maternity and Teaching Hospital, Obstetrics and Gynecology, Ankara, Turkey | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Etlik Zübeyde Hanım Women's Health Teaching and Research Hospital | Ankara | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33169839 | Derived | Oladapo OT, Okusanya BO, Abalos E, Gallos ID, Papadopoulou A. Intravenous versus intramuscular prophylactic oxytocin for the third stage of labour. Cochrane Database Syst Rev. 2020 Nov 9;11(11):CD009332. doi: 10.1002/14651858.CD009332.pub4. | |
| 25108586 | Derived | Oguz Orhan E, Dilbaz B, Aksakal SE, Altinbas S, Erkaya S. Prospective randomized trial of oxytocin administration for active management of the third stage of labor. Int J Gynaecol Obstet. 2014 Nov;127(2):175-9. doi: 10.1016/j.ijgo.2014.05.022. Epub 2014 Jul 17. |
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| ID | Term |
|---|---|
| D006473 | Postpartum Hemorrhage |
| ID | Term |
|---|---|
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| after delivery of the fetus & when anterior shoulder seen | Procedure | oxytocin 10 iu after the delivery of the fetus or when the anterior shoulder was seen after the fetal head was delivered |
|
| D011644 | Puerperal Disorders |
| D014592 | Uterine Hemorrhage |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |