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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 23 February 2016
Main ID:  NCT02226588
Date of registration: 25/08/2014
Prospective Registration: Yes
Primary sponsor: Gynuity Health Projects
Public title: Comparison of Primary and Secondary Prevention of Postpartum Hemorrhage at the Community Level in Egypt
Scientific title: Two Community Strategies Comparing Use of Misoprostol for Secondary Prevention to Primary Prevention for Postpartum Hemorrhage: A Randomized Cluster Non-Inferiority Study in El Beheira Governorate, Egypt
Date of first enrolment: October 2014
Target sample size: 2827
Recruitment status: Completed
URL:  https://clinicaltrials.gov/show/NCT02226588
Study type:  Interventional
Study design:  Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention  
Phase:  Phase 4
Countries of recruitment
Egypt
Contacts
Name:     Rasha Dabash, MPH
Address: 
Telephone:
Email:
Affiliation:  Gynuity Health Projects
Name:     Mohamed Cherine, MD
Address: 
Telephone:
Email:
Affiliation:  El Galaa Teaching Hospital
Name:     Holly Anger, MPH
Address: 
Telephone:
Email:
Affiliation:  Gynuity Health Projects
Name:     Nevine Hassanein, MD
Address: 
Telephone:
Email:
Affiliation:  Consultant
Name:     Emad Darwish, MD
Address: 
Telephone:
Email:
Affiliation:  Alexandria University
Key inclusion & exclusion criteria

Inclusion Criteria:

- Willing and able to give informed consent

- Vaginal delivery

- Agrees to participate in follow-up interview

- Agrees to have pre- and post-hemoglobin taken

- Delivery at woman's home or at the primary health unit (PHU)

Exclusion Criteria:

- Too advanced into active labor to provide consent

- Known allergy to misoprostol and/or other prostaglandin

- Pregnancy complications, such as hypertension, suspected multiple pregnancy, previous
caesarean section, suspected still birth, ante-partum hemorrhage, and previous
complication in the third trimester



Age minimum: N/A
Age maximum: N/A
Gender: Female
Health Condition(s) or Problem(s) studied
Postpartum Hemorrhage
Intervention(s)
Drug: Misoprostol
Primary Outcome(s)
Mean drop in pre- to post-delivery hemoglobin level [Time Frame: Pre-delivery hemoglobin will be measured during a third trimester antenatal care visit or during early labor. Post-delivery hemoglbin will be measured 2 to 4 days after delivery of the baby.]
Secondary Outcome(s)
Proportion of women who experience side effects [Time Frame: From time of delivery to 2 hours postpartum]
Proportion of women diagnosed with PPH [Time Frame: After delivery of the baby up to 24 hours postpartum]
Proportion of women receiving additional interventions for PPH [Time Frame: Following delivery to postpartum visit (2 to 4 days after delivery)]
Proportion of women transferred to higher level care [Time Frame: Following delivery to postpartum visit (2 to 4 days after delivery)]
Proportion of women experiencing a serious adverse event [Time Frame: Within 2 to 4 days after delivery]
Proportion of women who find the intervention acceptable [Time Frame: Measured at postpartum visit (2 to 4 days after delivery)]
Proportion of women who receive intervention per protocol [Time Frame: within 2 hours of delivery]
Secondary ID(s)
3004
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ministry of Health and Population of Egypt
Faculty of Medicine, Alexandria University
El Galaa Teaching Hospital
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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