Postpartum Oxytocin Administration in the Era of Delayed Cord Clamping
NCT04632264 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 104
Last updated 2021-12-29
Summary
Increased blood loss after vaginal or cesarean delivery is one of the top causes of maternal complications. Oxytocin is a common medication given to mothers by IV or an injection to limit the amount of blood loss after delivery. The investigators do not know the best time after delivery that oxytocin should be given. This research is being done to find out if starting the medication oxytocin right after the baby is born or after the placenta comes out decreases the amount of blood lost after birth when we delay cord clamping after birth.
Conditions
- Postpartum Hemorrhage
Interventions
- OTHER
-
Initiation of standard postpartum oxytocin immediately following fetal shoulder delivery
The intervention is to determine if initiating oxytocin as soon as the fetus is delivered decreased postpartum blood loss. 30 units in 500 milliliters of 0.9% sodium chloride
- OTHER
-
Initiation of standard postpartum oxytocin immediately following placenta delivery
Standard of care includes oxytocin administration post-delivery regardless of delivery mode. This is the comparative group. 30 units in 500 milliliters of 0.9% sodium chloride
- OTHER
-
Saline Placebo
Saline placebo will be initiated post placenta delivery (within 15 seconds).
- OTHER
-
Saline Placebo
Saline placebo will be initiated post fetal shoulder delivery (within 15 seconds).
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Stephanie E. Purish, MD · Columbia University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2020-12-10
- Primary Completion
- 2021-04-02
- Completion
- 2021-09-16
Countries
- United States
Study Locations
More Related Trials
-
Intraumbilical Vein Injection of Oxytocin in Routine Practice for Active Management of the Third Stage of Labor
NCT01094028 ·Status: COMPLETED ·Phase: PHASE3
-
In Vitro Optimization of Oxytocin-induced Myometrial Contractility by Propranolol
NCT03434444 ·Status: COMPLETED ·Phase: NA
-
An Evidence Based Protocol for Oxytocin Administration in Vaginal Delivery
NCT02410655 ·Status: WITHDRAWN ·Phase: PHASE4
-
Active Versus Expectant Management of the Third Stage of Labor
NCT00473707 ·Status: COMPLETED ·Phase: NA
-
Compare Efficacy of Oxytocin Administrations on Postpartum Uterine Contractility
NCT02908126 ·Status: TERMINATED ·Phase: PHASE1
-
Prevention of Post-partum Haemorrhage
NCT01044082 ·Status: COMPLETED ·Phase: NA
-
In Vitro Evaluation of Spontaneous and Oxytocin-induced Contractility of Pregnant Human Myometrium During Exposure to Dexmedetomidine
NCT05511415 ·Status: COMPLETED ·Phase: NA
-
Intravenous Versus Intramuscular Administration of Methylergonovine for Uterine Contraction in Cesarean Sections
NCT03303235 ·Status: WITHDRAWN ·Phase: EARLY_PHASE1
-
Comparative Efficacy of Carbetocin and Oxytocin in Parturients at Risk of Atonic Postpartum Hemorrhage Undergoing Elective Cesarean Delivery
NCT06333340 ·Status: RECRUITING ·Phase: NA
-
Intramuscular Versus Intravenous Prophylactic Oxytocin for Hemorrhage After Vaginal Delivery
NCT02080104 ·Status: UNKNOWN ·Phase: NA
-
Cervical Traction vs. Active Management of 3rd Stage of Labor
NCT04747015 ·Status: UNKNOWN ·Phase: NA
-
Investigating the Effect of Extracellular Calcium on Oxytocin-induced Human Myometrial Contractility In-vitro
NCT02274454 ·Status: COMPLETED ·Phase: NA
-
Oxytocin Rest to Reduce Cesarean Delivery
NCT06268431 ·Status: RECRUITING ·Phase: NA
-
Prophylactic Use of Intraumbilical Vein Oxytocin Injection in The Management of Third Stage of Labor
NCT02680938 ·Status: UNKNOWN ·Phase: PHASE1
-
Diazepam at the Active Phase of Labor
NCT02232035 ·Status: UNKNOWN ·Phase: PHASE2
-
Placental Transfusion in the 'Natural' Delivery: Effect of Early and Late Umbilical Cord Clamping
NCT04459442 ·Status: UNKNOWN ·Phase: NA
-
Prophylactic Regimen of Intravenous Oxytocin, Intravenous Tranexamic Acid, and Intramuscular Ergot Derivative for Primary Prevention of Postpartum Hemorrhage in Intrapartum Cesarean Section Versus Intravenous Carbetocin Alone
NCT07318467 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Recovery of Oxytocin Responsiveness in Pregnant Human Myometrial Explants After Oxytocin-Induced Desensitization: an In-vitro Analysis of Oxytocin Receptor Expression and Signaling
NCT02762669 ·Status: TERMINATED ·Phase: NA
-
Investigating the Effect of Pulsatile Administration of Oxytocin on the Desensitization of Human Myometrium In-vitro
NCT02338089 ·Status: COMPLETED ·Phase: NA
-
Prophylactic Amnioinfusion for Prevention of Postpartum Hemorrhage
NCT06691945 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Management of the Third Stage of Labor
NCT02319707 ·Status: UNKNOWN ·Phase: PHASE3
-
Oxytocin Regimen to Prevent Atony and Postpartum Hemorrhage During Vaginal Delivery: 3-arm RCT
NCT00790062 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Co-administration of Carbetocin and Calcium Chloride on Uterine Tone in Patients Undergoing Elective Cesarean Delivery
NCT07187544 ·Status: RECRUITING ·Phase: NA
-
Induction of Labor With Oxytocin: When Should Oxytocin be Held?
NCT00957593 ·Status: COMPLETED ·Phase: NA
-
Cord Clamping Level Above or Below Mother's Perineum
NCT02659605 ·Status: COMPLETED ·Phase: NA