Unique ID issued by UMIN | UMIN000007577 |
---|---|
Receipt number | R000008709 |
Scientific Title | The effects and side effects of oxytocin: a randomized double-blind comparison of intramyometrial oxytocin and intravenous oxytocin during elective Cesarean section |
Date of disclosure of the study information | 2012/03/28 |
Last modified on | 2013/01/04 13:20:19 |
The effects and side effects of oxytocin: a randomized double-blind comparison of intramyometrial oxytocin and intravenous oxytocin during elective Cesarean section
The effects and side effects of oxytocin: a randomized double-blind comparison of intramyometrial oxytocin and intravenous oxytocin during elective Cesarean section
The effects and side effects of oxytocin: a randomized double-blind comparison of intramyometrial oxytocin and intravenous oxytocin during elective Cesarean section
The effects and side effects of oxytocin: a randomized double-blind comparison of intramyometrial oxytocin and intravenous oxytocin during elective Cesarean section
Japan |
Elective Cesarean section
Obstetrics and Gynecology | Anesthesiology |
Others
NO
Oxytocin is routinely administered during Cesarean section to promote uterine contraction and reduce blood loss from the placental site. When administered as a rapid intravenous (i.v.) bolus, it causes abrupt hypotension, tachycardia and ECG changes and the i.v. administration of 10 units of oxytocin has been reported to cause cardiovascular collapse and death. Although there have been some studies to investigate the better methods of administration, there is only one report about the effects of intramyometrial oxytocin. Our clinical impression has been that the intramyometrial oxytocin, followed by a routine infusion, produces adequate uterine contraction with fewer adverse effects than the i.v. bolus injection. We have designed this randomized double-blind trial to compare the effects and adverse effects of intramyometrial oxytocin with intravenous oxytocin.
Safety,Efficacy
The lowest systolic blood pressure and the highest heart rate within ten minute after the administration of oxytocin
Uterine tone assessed by obstetricians
Blood loss during operation
The rate of patients administered additional uterotonics within 24hour after baby delivery
The adverse effects of oxytocin (nausea, vomiting, facial flushing)
Interventional
Parallel
Randomized
Double blind -all involved are blinded
Placebo
2
Treatment
Medicine | Maneuver |
Immediately after delivery of the baby and cord clamping, the obstetrician gives a 2mL intramyometrial test drug (0.07unit/kg oxytocin plus normal saline). At the same time, an anesthesiologist gives a 10mL test drug (normal saline) intravenously over 30seconds.
Immediately after delivery of the baby and cord clamping, the obstetrician gives a 2mL intramyometrial test drug (normal saline). At the same time, an anesthesiologist gives a 10mL test drug (0.07unit/kg oxytocin plus normal saline) intravenously over 30seconds.
20 | years-old | <= |
45 | years-old | > |
Female
ASA physical status 1 or 2, gestational age of over 36 weeks, elective Cesarean section
More than two previous Cesarean sections, previous post-partum hemorrhage, known placenta previa, twin pregnancy, polyhydramnios, pregnancy induced hypertension
40
1st name | |
Middle name | |
Last name | Shigehito Sato |
Hamamatsu University School of Medicine
Department of Anesthesiology and Intensive Care Medicine
1-20-1 Handayama Higashi-ku Hamamatsu-shi
1st name | |
Middle name | |
Last name | Chieko Akinaga |
Hamamatsu University School of Medicine
Department of Anesthesiology and Intensive Care Medicine
1-20-1 Handayama Higashi-ku Hamamatsu-shi
053-435-2286
Department of Anesthesiology and Intensive Care
None
Self funding
NO
浜松医科大学医学部附属病院
2012 | Year | 03 | Month | 28 | Day |
Unpublished
Completed
2012 | Year | 02 | Month | 01 | Day |
2012 | Year | 04 | Month | 01 | Day |
2012 | Year | 03 | Month | 27 | Day |
2013 | Year | 01 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008709