Not yet recruiting
May 7, 2019
May 13, 2019
The aim of this study is to evaluate the renal outcome of patients undergoing elective C/S where oxytocin or carbetocin is used for postpartum hemorrhage prophylaxis.
This group will be given 3 IU / 3 ml oxytocin (intravenously) after the clamping of the umbilical cord. Uterine tonus will be assessed after 60 seconds and if it is lower than 7, oxytocin 3 IU / 3 ml will be repeated, up to a maximum of three times. If uterine tonus is still lower than 7, rescue uterotonics such as intramuscular methylergonovine or intravenous misoprostol will be administered.
To be given to Oxytocin group following the clamping of the umbilical cord
This group will be given 100 mcg / 3 ml carbetocin (intravenously) after the clamping of the umbilical cord. If uterine tonus is lower than 7, rescue uterotonics such as intramuscular methylergonovine or intravenous misoprostol will be administered.
To be given to Carbetocin group following the clamping of the umbilical cord
- Term (>37 weeks of gestation) uncomplicated pregnant women undergoing elective
- Patients refusing to participate in the study
- Complicated pregnancies
- Patients with risk factors for postpartum hemorrhage
- Contraindications for oxytocin or carbetocin usage
- Patients with known renal diseases
- Preterm births (<37 weeks of gestation)
Contact: Gamze S Çağlar, Prof.Dr. +903122044000 email@example.com
Contact: Baturay K Kazbek, MD +903122044000 firstname.lastname@example.org
Ufuk University Faculty of Medicine Hospital
Larciprete G, Montagnoli C, Frigo M, Panetta V, Todde C, Zuppani B, Centonze C, Bompiani A, Malandrenis I, Cirese A, Valensise H. Carbetocin versus oxytocin in caesarean section with high risk of post-partum haemorrhage. J Prenat Med. 2013 Jan;7(1):12-8.
Engstrøm T, Barth T, Melin P, Vilhardt H. Oxytocin receptor binding and uterotonic activity of carbetocin and its metabolites following enzymatic degradation. Eur J Pharmacol. 1998 Aug 21;355(2-3):203-10.