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Uterotonic Efficacy of Oxytocin 2.5 Versus 10 Units During Caesarean Section at Mulago Hospital

Primary Purpose

Adverse Effect of Oxytocic Drugs, Uterine Hemorrhage, Inappropriate Dose of Drug Administered

Status
Completed
Phase
Not Applicable
Locations
Uganda
Study Type
Interventional
Intervention
2.5 units Oxytocin
10 units Oxytocin
Sponsored by
Faculty of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Adverse Effect of Oxytocic Drugs focused on measuring Oxytocin, Uterine tone, Mulago Hospital, Dose, Side effects

Eligibility Criteria

18 Years - 40 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • ASA I (Healthy patient with no systemic disease) or II ( mild to moderate systemic disease)
  • Age between 18 to 40 years
  • Singleton pregnancies

Exclusion Criteria:

  • • Allergy to oxytocin

    • Ruptured uterus
    • Significant obstetric disease (including Pregnancy induced Hypertension, Eclampsia,)
    • Known risk factors for postpartum haemorrhage or uterine atony
    • Inherited or acquired coagulation disorder
    • History of post partum haemorrhage

Sites / Locations

  • Mulago Hospital Labour Suite Operating Theatres

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

2.5 units oxytocin

10 units oxytocin

Arm Description

Administration of 2.5 units of oxytocin intravenously after clamping of umbilical cord

Administration of 10 units of oxytocin after clamping of umbilical cord

Outcomes

Primary Outcome Measures

Uterine tone adequacy
The primary outcome was the assessment of either adequate or inadequate Uterine tone at various times after administration of initial oxytocin dose

Secondary Outcome Measures

Intraoperative blood loss
Blood loss was estimated by measuring the amount in the suction bottles and weighing of the mops. The patients were followed up for any occurrence of postpartum haemorrhage for the next 24 hours after surgery.

Full Information

First Posted
November 3, 2012
Last Updated
November 9, 2012
Sponsor
Faculty of Medicine
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1. Study Identification

Unique Protocol Identification Number
NCT01726478
Brief Title
Uterotonic Efficacy of Oxytocin 2.5 Versus 10 Units During Caesarean Section at Mulago Hospital
Official Title
Uterotonic Efficacy of Oxytocin 2.5 Versus 10 Units During Caesarean Section at Mulago Hospital; Adouble Blinded Clinical Trial.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
April 2011 (Actual)
Study Completion Date
April 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Faculty of Medicine

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study was to determine whether 2.5 international units of oxytocin gives adequate uterine tone and is safe as compared to 10 international units of oxytocin following caesarean section delivery at Mulago hospital.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adverse Effect of Oxytocic Drugs, Uterine Hemorrhage, Inappropriate Dose of Drug Administered
Keywords
Oxytocin, Uterine tone, Mulago Hospital, Dose, Side effects

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
386 (Actual)

8. Arms, Groups, and Interventions

Arm Title
2.5 units oxytocin
Arm Type
Active Comparator
Arm Description
Administration of 2.5 units of oxytocin intravenously after clamping of umbilical cord
Arm Title
10 units oxytocin
Arm Type
Placebo Comparator
Arm Description
Administration of 10 units of oxytocin after clamping of umbilical cord
Intervention Type
Drug
Intervention Name(s)
2.5 units Oxytocin
Other Intervention Name(s)
pitocin
Intervention Description
Administration of 2.5 units of oxytocin after clamping of umbilical cord
Intervention Type
Drug
Intervention Name(s)
10 units Oxytocin
Other Intervention Name(s)
pitocin
Intervention Description
Administration of 10 units of oxytocin after clamping of umbilical cord
Primary Outcome Measure Information:
Title
Uterine tone adequacy
Description
The primary outcome was the assessment of either adequate or inadequate Uterine tone at various times after administration of initial oxytocin dose
Time Frame
2 minutes
Secondary Outcome Measure Information:
Title
Intraoperative blood loss
Description
Blood loss was estimated by measuring the amount in the suction bottles and weighing of the mops. The patients were followed up for any occurrence of postpartum haemorrhage for the next 24 hours after surgery.
Time Frame
24 hours

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: ASA I (Healthy patient with no systemic disease) or II ( mild to moderate systemic disease) Age between 18 to 40 years Singleton pregnancies Exclusion Criteria: • Allergy to oxytocin Ruptured uterus Significant obstetric disease (including Pregnancy induced Hypertension, Eclampsia,) Known risk factors for postpartum haemorrhage or uterine atony Inherited or acquired coagulation disorder History of post partum haemorrhage
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrew Kintu, MBChB
Organizational Affiliation
Makerere University College of Health Sciences Department of Anaesthesia
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mulago Hospital Labour Suite Operating Theatres
City
Kampala
State/Province
East Africa
ZIP/Postal Code
+256
Country
Uganda

12. IPD Sharing Statement

Learn more about this trial

Uterotonic Efficacy of Oxytocin 2.5 Versus 10 Units During Caesarean Section at Mulago Hospital

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