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| Name | Class |
|---|---|
| Ministry of Health, Kuwait | OTHER_GOV |
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As both oxytocin and carbetocin are used daily in obstetric units all over the world, the investigators find it compelling to investigate whether the hemodynamic and myocardial effects of oxytocin and carbetocin are comparable in healthy women during delivery and determine any potential harmful effects following the use of oxytocin or Carbetocin as uterotonic. Other endpoints relating to uterus tone, blood loss, blood pressure, heart rate, post-operative pain and side effects will also be assessed.
Although the difference between carbetocin and oxytocin in terms of hemodynamic changes, postpartum blood loss and incidence of side effects is not statistically significant. serious cardiovascular adverse events, including ST segment depression, hypotension and tachycardia have been reported after IV oxytocin. Oxytocin dose reduction and/or increased infusion duration may reduce risk of some cardiac-related adverse effects and increase patient safety. As both oxytocin and carbetocin are used daily in obstetric units all over the world, the investigators find it compelling to investigate whether the hemodynamic and myocardial effects of oxytocin and carbetocin are comparable in healthy women during delivery and determine any potential harmful effects following the use of oxytocin or Carbetocin as uterotonic. Other endpoints relating to uterus tone, blood loss, blood pressure, heart rate, post-operative pain and side effects will also be assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| oxytocin group | Oxytocin 5 IU will be administered by a trained anaesthetist as a one-minute IV injection. |
| |
| Carbetocin group | Carbetocin 100 μg will be administered by a trained anaesthetist as a one-minute IV injection. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| oxytocin | Drug | Participants will be randomized to receive Oxytocin after delivery of the baby's head and shoulders |
|
| Measure | Description | Time Frame |
|---|---|---|
| Myocardial effects | Electrocardiograph (QT interval) | immediately before drug administration |
| Myocardial effects | Electrocardiograph (QT interval) | 24 hours after drug administration |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac enzyme | Troponin | immediately before drug administration |
| Cardiac enzyme | Troponin | 24 hours after drug administration |
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Inclusion Criteria:
Exclusion Criteria:
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Women will be recruited from the pregnant women attending antenatal clinics in Sabah Maternity Hospital and planned for Delivery either vaginal or Cesarean section .
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fatemah Qasem | Contact | +98599511550 | fatemahq82@gmail.com | |
| Mohamed Farghaly | Contact | +96551199166 | mohamedfarghali@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Fatemah Qasem | Ministry of Health, Kuwait | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Munistery of Health Kuwait | Kuwait City | Kuwait |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30305154 | Background | Masuzawa Y, Kataoka Y, Fujii K, Inoue S. Prophylactic management of postpartum haemorrhage in the third stage of labour: an overview of systematic reviews. Syst Rev. 2018 Oct 11;7(1):156. doi: 10.1186/s13643-018-0817-3. |
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the results of the study will be shared with other researchers.
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| ID | Term |
|---|---|
| D010121 | Oxytocin |
| C020731 | carbetocin |
| ID | Term |
|---|---|
| D010909 | Pituitary Hormones, Posterior |
| D010907 | Pituitary Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
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| Carbetocin | Drug | Participants will be randomized to receive Cabetocin after delivery of the baby's head and shoulders |
|
|
| Uterine contraction | Palpate the fundus throughout a contraction to determine intensity | One hour post delivery |
| D006730 |
| Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |