Home » Trials » SLCTR/2011/010


Anticipatory management vs standard management of postpartum haemorrhage

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SLCTR Registration Number

SLCTR/2011/010


Date of Registration

25 Jul 2011

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

Anticipatory management vs standard management of postpartum haemorrhage


Public Title of Trial

Anticipatory management vs standard management of postpartum haemorrhage


Disease or Health Condition(s) Studied

Postpartum haemorrhage (PPH)


Scientific Acronym

None


Public Acronym

None


Brief title

None


Universal Trial Number

None


Any other number(s) assigned to the trial and issuing authority

EC-10-136 (Ethics Review Committee, Faculty of Medicine, University of Colombo)


Trial Details


What is the research question being addressed?

Is anticipatory management better for postpartum haemorrhage than standard mangement?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Not Available


Intervention(s) planned

Intervention group will receive anticipatory management protocol while the control group will receive standard management protocol. Standard management. If visually assessed blood loss is ? 500ml or if cardiovascular instability initiate PPH management. Anticipatory Management. If there is continuous fresh bleeding after delivery of the placenta not responding to uterine massage, initiate PPH management


Inclusion criteria

Giving birth after 36 Weeks of amenorrhea •Post-partum haemorrhage due to uterine atony (recognized by continuing bleeding not responding to uterine massage and excluding other causes after examination)


Exclusion criteria

•Anomalies of hemostasis before labour •Anticoagulant treatment •Patients with death in utero fetuses •Diagnosed patients with placenta accreta or percreta



Primary outcome(s)

1.

Need for use of balloon tamponade to control PPH

[

Until 24hours postpartum

]

Secondary outcome(s)

1.

• Percentage of women who did not develop PPH in the standard treatment arm • Need for additional intervention after initial PPH treatment • Use of additional doses of oxytocin/ ergometrine • Surgical interventions • Compressive sutures • Systematic pelvic devascularization (Uterine, Internal iliac artery ligation) • Hysterectomy • Change in hemoglobin from pre-delivery to postpartum • Receipt of blood transfusion Need for massive blood transfusion (>5 units of blood) • Maternal death

[

Until study subject is discharged from hospital

]

Target number/sample size

126 in each arm


Countries of recruitment

Sri Lanka


Anticipated start date

2011-07-31


Anticipated end date

2013-07-31


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

None


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2011-05-19


Approval number

EC-10-136


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Colombo
Institutional Address:No. 25, Kynsey Road, Colombo 00800 Sri Lanka
Telephone:+94-11-2695300 (Extension: 240)
Email: ethicscommitteemfc@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Prof. Hemantha Senanayake

Department of Obstetrics & Gynaecology, University of Colombo
0112556340
0714762176

senanayakeh@gmail.com

Contact Person for Public Queries

Prof. Hemantha Senanayake

Department of Obstetrics & Gynaecology, University of Colombo
0112556340
0714762176

senanayakeh@gmail.com


Primary study sponsor/organization

Faculty of Medicine, Colombo

25, Kynsey Road, Colombo 08
2695300

gynobscmb@sltnet.lk

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results