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This prospective double-blind placebo-controlled randomized clinical trial will be conducted at Ain-Shams University Maternity Hospital from April 2017 till December 2017. Group 1 women, candidates for cesarean section, will receive preoperative rectal 400 microgram of misoprostol, and Group 2 women will receive postoperative rectal 400 microgram of misoprostol.
2017. 120 women candidate foe elective cesarean section will receive preoperative sublingual 400 microgram of misoprostol, and another 120 women will receive postoperative sublingual 400 microgram of misoprostol.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Preoperative | Active Comparator | Group no.1 will receive preoperative rectal 400 microgram of misoprostol (Sigma) "2 tablets" and postoperative rectal placebo"2 tablets". |
|
| Postoperative | Active Comparator | Group no.2 will receive preoperative rectal placebo "2 tablets" and postoperative rectal 400 microgram of misoprostol (Sigma) " 2 tablets" . |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Misoprostol | Drug | Cytotec |
|
| Measure | Description | Time Frame |
|---|---|---|
| Neonatal outcome | measured by APGAR score at 5 minutes | 5 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| NICU admission | Number of neonates admitted to NICU within 24 hours. | 24 hours |
| amount of blood loss | 24 hours | |
| Measure | Description | Time Frame |
|---|---|---|
| APGAR score at 1 minute | 1 minute |
Inclusion Criteria:
Exclusion Criteia:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University | Cairo | Egypt |
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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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| Placebo | Other | Placebo tablet similar in shape, odour and consistency to misoprostol tablet. |
|
| Postpartum hemorrhage |
| 24 hours |
| Need for extra uterotonics | 24 hours |
| D005231 |
| Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D008055 | Lipids |
| D012898 | Autacoids |
| D018836 | Inflammation Mediators |
| D001685 | Biological Factors |