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Research question:
In women undergoing elective ceserean section, is preoperative 400 mic Misoprostol reduce intra-operative blood loss?
Research hypothesis:
pre-operative Misoprostol doesn't reduce intraoperative blood loss in women undergoing ceserean section
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| misoprostol | Experimental | women receiving pre-operative rectally administered 400 microgram misoprostol |
|
| placeboo | Active Comparator | women receiving placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| misoprostol | Drug | 400 microgram of misoprostol is given preoperatively in patients undergoing elective cesarean section |
|
| Measure | Description | Time Frame |
|---|---|---|
| volume of intraoperative blood loss | volume of intraoperative blood loss will be measured in "cc" by a didcated nurse who will use separate suction sets to differentiate between blood and liquor | 30 minute |
| Measure | Description | Time Frame |
|---|---|---|
| maternal mortality | 6 months | |
| mean measured blood loss | 1, 2, and 24 h postpartum | |
| placental retention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Helmy Dr metawe, MD | Ain Shams University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine, Ain Shams University | Cairo | Cairo Governorate | Egypt |
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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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| ID | Term |
|---|---|
| D016595 | Misoprostol |
| ID | Term |
|---|---|
| D011459 | Prostaglandins E, Synthetic |
| D011465 | Prostaglandins, Synthetic |
| D011453 | Prostaglandins |
| D015777 | Eicosanoids |
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| placeboo | Drug | women will recive 2 identical tablets as placeboo |
|
|
when the placenta is not delivered spontaneously for 30 minutes |
| 30 minutes |
| requirement for blood transfusion | indicated per clinical protocol at the study site for mothers with a hemoglobin <100 g/l and/or severe pallor | 24 hours |
| requirement for additional management of PPH, including therapeutic uterotonic drugs or surgical or radiological procedures | 24 hours |
| postpartum hemoglobin | less than 10gm% | 24 hours |
| mean postpartum hematocrit | more than 10% drop in the postpartum hematocrit | 24 hours |
| D011644 | Puerperal Disorders |
| D014592 | Uterine Hemorrhage |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005231 |
| Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D008055 | Lipids |
| D012898 | Autacoids |
| D018836 | Inflammation Mediators |
| D001685 | Biological Factors |