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This study was planned to investigate the efficacy of different treatment methods that can be used in the treatment of hemorrhagic tears that may occur in the postpartum period. The volunteers who will participate in the study will be evaluated during the hospitalization period after delivery and at the end of the puerperium 6 weeks after delivery, in accordance with routine postpartum control examinations. In the treatment of postpartum hemorrhagic tears, the treatment options such as suturing the tears to stop bleeding or applying tampons with bleeding stopping agent (chitosan) and compression effect to the torn area will be determined completely randomly.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| chitosan-covered-gauze applied tears | Experimental | Hemostasis of the tears is obtained by the application of chitosan-covered-gauze |
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| Suturation group | Active Comparator | Hemostasis of the tears is obtained by suturing |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chitosan-covered-gauze application | Procedure | Effectiveness of chitosan-covered-gauze in terms of patients' comfort and satisfaction, hospital stay, total amount of bleeding, hemoglobin decline and other complications (infections, need for transfusion etc.) for the treatment of hemorrhagic obstetrical tears |
| Measure | Description | Time Frame |
|---|---|---|
| Amount of bleeding | Total amount of blood which is calculated by subtracting the dry weight of surgical absorbant gauze materials from their soaked weight | From time of birth to the cessation of bleeding |
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Inclusion Criteria: Patients, 18-48 years old, who gave birth in Istanbul TRH between March 2025 and March 2027 experiencing 1st and 2nd degree obstetric lacerations with postpartum hemorrhage without the need for anatomical defect repairing and without additional conditions such as uterine atony, placental rest, etc. that may affect the amount of postpartum bleeding.
Exclusion Criteria: Patients not fullfilling the inclusion criteria in terms of age limits, time and place of birth or ones who are experiencing 1st and 2nd degree obstetric lacerations with postpartum hemorrhage with the need for anatomical defect repairing and with additional conditions such as uterine atony, placental rest, etc. that may affect the amount of postpartum bleeding.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Doruk C Katlan | Contact | +90 535 347 54 11 | dcek2000@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Training and Research Hospital Department of Obstetrics and Gynecology | Recruiting | Istanbul | Turkey (Türkiye) |
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| Suturation | Procedure | Effectiveness of suturation in terms of patients' comfort and satisfaction, hospital stay, total amount of bleeding, hemoglobin decline and other complications (infections, need for transfusion etc.) for the treatment of hemorrhagic obstetrical tears |
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