Bilateral Uterine Artery Ligation in Reducing Incidence of Postpartum Hemorrhage in Cesarean Section

Assiut University

Status: Completed

Conditions: Post Partum Hemorrhage

Treatments: Drug: Oxytocin; Procedure: bilateral uterine artery ligation

Study type: Interventional

Funder types: Other

Identifiers

NCT03591679

BUALCS

Details and patient eligibility

About

The patients were recruited from women attending labor ward to undergo cesarean section.

Enrollment: 1,070 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• Women with one or more of the following conditions undergoing cesarean section for obstetric indication were included:
• Maternal anemia (not less than 7 gm %).
• Macrosomic baby >4kgs.
• Twin pregnancy and high order pregnancy.
• Polyhydramnios.
• Grand multipara.
• Previous history of atonic postpartum hemorrhage.
• Prolonged vaginal delivery.
• Emergency cesarean.
• Chorioamnionitis.

Exclusion criteria

• • Placenta previa.
• Patients with bleeding tendency (congenital or acquired)
• Ante-partum hemorrhage.
• Patients with no risk for uterine atony.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,070 participants in 2 patient groups

study group

Experimental group

Description:

patients at risk of uterine atony undergoing cesarean section underwent bilateral uterine artery ligation and received oxytocin.

Treatment:

Procedure: bilateral uterine artery ligation

Drug: Oxytocin

control group

Active Comparator group

Description:

patients at risk of uterine atony undergoing cesarean section received oxytocin only.

Treatment:

Drug: Oxytocin