Management of Postpartum Haemorrhage and Effect of Geographic Region
NCT03166839 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 20060
Last updated 2017-05-30
Summary
Background: Maternal deaths occur universally and are largely avoidable. Postpartum haemorrhage accounts for a disproportionate amount of maternal deaths. There remains a great need to expeditiously decrease the rate of postpartum haemorrhage to prevent further mortality.
Methods: This study is a cohort analysis of data collected for the pragmatic international multi-centre randomized double blind placebo controlled design WOMAN Trial. It will present a univariate analysis of patient and delivery characteristics (age, type of delivery, placenta fully delivered, primary cause of haemorrhage, severity of haemorrhage), physiologic characteristics (systolic blood pressure, estimated blood loss, clinical signs of haemodynamic instability) and management characteristics (receipt of blood products, uterotonics). Multivariable logistic regression models and likelihood ratio tests will be used to examine the evidence for interaction between death from PPH and region after adjusting for any independent effects of 1) systolic blood pressure 2)age 3) type of delivery 4) receipt of blood products Discussion: This analysis of the WOMAN trial dataset will explore the relationship between geographical location, patient and environment characteristics and outcomes of postpartum haemorrhage. A protocol and statistical analysis plan is presented here.
Conditions
- Postpartum Hemorrhage
Interventions
- OTHER
-
Experiencing PPH
No intervention given
Sponsors & Collaborators
-
London School of Hygiene and Tropical Medicine
lead OTHER
Principal Investigators
-
Ian Roberts · London School of Hygiene and Tropical Medicine
Eligibility
- Min Age
- 15 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-03-31
- Primary Completion
- 2016-06-30
- Completion
- 2017-05-31
More Related Trials
-
Severe Post Partum Haemorrhage (PPH): A Randomized Trial on Transversal Intervention in 6 French Perinatal Networks
NCT00344929 ·Status: UNKNOWN
-
Evaluation of a Patient Blood Management Protocol Impact on the Transfusion Rate in Delivery Hemorrhage
NCT06916832 ·Status: COMPLETED
-
Towards Better Prognostic and Diagnostic Strategies for Haemostatic Changes During Major Obstetric Haemorrhage
NCT02149472 ·Status: COMPLETED
-
Validating a New Method to Assess Estimated Blood Loss in the Obstetric Population
NCT03404375 ·Status: COMPLETED ·Phase: NA
-
REBOA in Life-threatening Postpartum Hemorrhage (PPH) in Uganda
NCT05598502 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Uterine Tamponade for Treatment of Primary Postpartum Hemorrhage
NCT02568657 ·Status: COMPLETED ·Phase: NA
-
Haemorrhages and Thromboembolic Venous Disease of the Postpartum
NCT02443610 ·Status: COMPLETED
-
NovoSeven® in Severe Postpartum Haemorrhage - Experiences From UK, DK, FR, NL
NCT04723979 ·Status: COMPLETED
-
Time of Postpartum Hemoglobin Assessment and Blood Loss During Delivery
NCT03233607 ·Status: COMPLETED
-
Bedside Assessment of Coagulation in Post-partum Hemorrhage by Thromboelastography (TEG ®6S)
NCT03592303 ·Status: UNKNOWN
-
Risk Factors for Postpartum Hemorrhage
NCT06730919 ·Status: COMPLETED
-
Tranexamic Acid for the Prevention of Postpartum Hemorrhage in Pregnant Women With Placenta Previa
NCT05811676 ·Status: COMPLETED ·Phase: PHASE3
-
Study of Biological Determinants of Bleeding Postpartum
NCT02884804 ·Status: COMPLETED
-
Haemorrhagia Postpartum: an Implementation Study on the NVOG Guidelines and MOET Instructions
NCT00928863 ·Status: UNKNOWN
-
Investigating the Association of Shock Index and Hemoglobin Variation With Postpartum Hemorrhage After Vaginal Deliveries
NCT03432767 ·Status: COMPLETED
-
Safety and Effectiveness of the Jada System in Treating Primary Postpartum Hemorrhage
NCT02883673 ·Status: COMPLETED ·Phase: NA
-
The Influence of Prenatal Factors on Maternal Hemorrhage
NCT04517617 ·Status: UNKNOWN
-
Hypertension Explored in Long-term Postpartum Follow-up in Later Life
NCT06187012 ·Status: RECRUITING
-
Clinical Outcomes of NovoSeven® Treatment in Severe Postpartum Haemorrhage - a Study at the University Hospital of Bern
NCT04444856 ·Status: COMPLETED
-
Postpartum Hypertension, Tight vs Liberal Control Trial
NCT04592783 ·Status: COMPLETED ·Phase: NA
-
rhuFVIIa in Post-partum Hemorrhage
NCT00370877 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation of Peripartum Blood Loss and Postpartum Anaemia in Macrosomia & Gemini
NCT06201910 ·Status: COMPLETED
-
Evaluation of the LMWH Thromboprophylaxis in Pregnancy
NCT01394107 ·Status: COMPLETED
-
Retrospective Assessment of the Risk of Peripartum Hemorrhage in Pregnant Women : Retrospective Assessment of the Diagnostic Performance of the HEMSTOP Standardized Questionnaire
NCT05191251 ·Status: COMPLETED
-
Maternal and Newborn Safety Profile of Progestogens in EARLY Pregnancy
NCT05186779 ·Status: TERMINATED