Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Misoprostol for Preventing Postpartum Hemorrhage
This study has been completed.
Sponsors and Collaborators: Gynuity Health Projects
University of Witwatersrand, South Africa
Effective Care Research Unit, South Africa
Family Care International
Information provided by: Gynuity Health Projects
ClinicalTrials.gov Identifier: NCT00124540
  Purpose

This hospital-based, multicenter, randomized, placebo-controlled trial will assess the effects of misoprostol as part of active management of the third stage of labor on postpartum blood loss, complications, and side effects. Twelve hundred eligible women will receive routine oxytocics (oxytocin 5-10 IU) plus either 400 mcg sublingual misoprostol or placebo during or immediately after delivery. The primary outcome will be measured blood loss of =>500 mls within one hour after enrollment.


Condition Intervention
Postpartum Hemorrhage
Drug: misoprostol
Drug: placebo

Drug Information available for: Misoprostol
U.S. FDA Resources
Study Type: Interventional
Study Design: Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Misoprostol for Preventing Postpartum Hemorrhage

Further study details as provided by Gynuity Health Projects:

Primary Outcome Measures:
  • Blood loss =>500 mls within one hour after enrollment

Secondary Outcome Measures:
  • Blood loss =>1000 mls within one hour after enrollment
  • Mean blood loss after enrollment
  • Blood transfusion
  • Hemoglobin level <8 g/dL 24 hours after delivery
  • Maternal morbidity and mortality
  • Side effects

Enrollment: 1200
Study Start Date: August 2005
Study Completion Date: October 2007
Primary Completion Date: September 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Placebo Comparator
placebo resembling misoprostol
Drug: placebo
placebo resembling misoprosotl
2: Experimental
misoprostol
Drug: misoprostol

  Eligibility

Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Women who have given birth to 1 or more live-born infants (para 1 or more)
  • Vaginal delivery

Exclusion Criteria:

  • Refusal or inability to give informed consent
  • Delivery regarded as abortion according to local gestational age limits
  • Inability to take misoprostol sublingually
  • Cesarean section
  • Assisted vaginal delivery
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00124540

Locations
Nigeria
University College Hospital
Ibadan, Nigeria
South Africa
Dora Nginza Hospital
Port Elizabeth, South Africa
Tembisa Hospital
Johannesburg, South Africa
Rob Ferreira Hospital
Nelspruit, South Africa
Uganda
Mulago Hospital
Kampala, Uganda
Sponsors and Collaborators
Gynuity Health Projects
University of Witwatersrand, South Africa
Effective Care Research Unit, South Africa
Family Care International
Investigators
Study Director: Lindeka Mangesi Effective Care Research Unit, East London Hospital Complex, South Africa
Principal Investigator: G. J. Hofmeyr, MD Effective Care Research Unit, Frere Maternity Hospital, East London Hospital Complex
  More Information

Responsible Party: University of Witwatersrand ( Justus Hofmyer )
Study ID Numbers: 2.4.5
Study First Received: July 26, 2005
Last Updated: May 26, 2008
ClinicalTrials.gov Identifier: NCT00124540  
Health Authority: South Africa: Medicines Control Council;   South Africa: National Health Research Ethics Council

Keywords provided by Gynuity Health Projects:
Misoprostol
Active management
Postpartum hemorrhage
Maternal morbidity
Anemia
Developing countries

Study placed in the following topic categories:
Postpartum Hemorrhage
Pregnancy Complications
Uterine Hemorrhage
Puerperal Disorders
Misoprostol
Obstetric Labor Complications
Anemia
Hemorrhage

Additional relevant MeSH terms:
Pathologic Processes
Oxytocics
Therapeutic Uses
Anti-Ulcer Agents
Physiological Effects of Drugs
Abortifacient Agents
Gastrointestinal Agents
Reproductive Control Agents
Abortifacient Agents, Nonsteroidal
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009