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This study aimed to compare 3 doses of ocytocin in bolus injection and contnious perfusion during C section. these doses determined by: high, intermediate and low doses, were administred to parturients during elective or urgent C section under spinal anesthesia
This study aimed to compare 3 doses of ocytocin in bolus injection and contnious perfusion during C section. these doses determined by: high, intermediate and low doses, were administred to parturients during elective or urgent C section under spinal anesthesia.
The aim was to determine the lowest efficient dose to prevent post partum hemorrage and with the lowest incidence of maternal side effects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High doses | Active Comparator | the patients of this group recieved conventionnal doses of ocytocin after foetal extraction in C section: 5IU in bolus followed by 15IU in continuous infusion |
|
| Intermediate doses | Experimental | the patients of this group recieved after foetal extraction in C section: 2IU in bolus followed by 10IU in continuous infusion |
|
| Low doses | Experimental | the patients of this group recieved after foetal extraction in C section: 2IU in bolus followed by 5 IU in continuous infusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ocytocin | Drug | Administration of lower doses of Ocytocin in bolus and continuous infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| uterine tone | uterine tone juged by the obstetrician | 10 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| hemoglobin rate | delta hemoglobin: preoperative HB- Post operative HB | 30 minutes after C section |
| Additive boluses of Ocytocin | necessity of Additive boluses of Ocytocin |
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Inclusion Criteria:
Exclusion Criteria:
including only parturients
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mongi Slim Hospital | Tunis | 2046 | Tunisia |
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| ID | Term |
|---|---|
| D010121 | Oxytocin |
| ID | Term |
|---|---|
| D010909 | Pituitary Hormones, Posterior |
| D010907 | Pituitary Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
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pre filled syringues of ocytocin were given to the care provider who didn't know the exact amount of ocytocin bolus and continious infusion
| 30 minutes after C section |
| side effects of Ocytocin | Tachycardia, hypotension, nausea vomiting, headache, chest pain | up to 30 minutes after C section |
| D006730 |
| Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |