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CTRI Number  CTRI/2024/07/070533 [Registered on: 12/07/2024] Trial Registered Prospectively
Last Modified On: 06/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the effect of IM inj 10U oxytocin V/s Oral tablet Misoprostol in active management of third stage of labour 
Scientific Title of Study   Comparative study of Oxytocin 10 IU IM V/s Oral Misoprostol 600 MCG in active management of third stage of labour 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shilpa Kshirsagar 
Designation  Associate Professor 
Affiliation  Dr D Y Patil Medical College and Hospital and research centre, Pimpri , Pune  
Address  Department of obstetrics and gynaecology, Dr D Y Patil Medical College and Hospital and research centre, Pimpri , Pune

Pune
MAHARASHTRA
411018
India 
Phone  9689904101  
Fax    
Email  shilpa.kshirsagar@dpu.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shilpa Kshirsagar 
Designation  Associate Professor 
Affiliation  Dr D Y Patil Medical College and Hospital and research centre, Pimpri , Pune  
Address  Department of obstetrics and gynaecology, Dr D Y Patil Medical College and Hospital and research centre, Pimpri , Pune

Pune
MAHARASHTRA
411018
India 
Phone  9689904101  
Fax    
Email  shilpa.kshirsagar@dpu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Heena Vaswani 
Designation  Junior Resident 
Affiliation  Dr D Y Patil Medical College and Hospital and research centre, Pimpri , Pune 
Address  Department of obstetrics and gynaecology, Dr D Y Patil Medical College and Hospital and research centre, Pimpri , Pune

Pune
MAHARASHTRA
411018
India 
Phone  9820079168  
Fax    
Email  heenavaswani@gmail.com  
 
Source of Monetary or Material Support  
Dr D Y Patil Medical College and Hospital and research centre, Pimpri , Pune 411018 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [NIL] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Heena Vaswani  Dr D Y Patil medical college and hospital and research centre, Pimpri, Pune   Department of obstetrics and gynaecology, labour room, ward number 58
Pune
MAHARASHTRA 
9820079168

heenavaswani@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Sub-Committee, Dr D Y Patil medical college, hospital and research institute, Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O721||Other immediate postpartum hemorrhage,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Inj Oxytocin  10 IU Intramuscularly after delivery of baby 
Comparator Agent  Tablet Misoprostol  600 mcg orally after delivery of baby 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  1. Women with gestational age more than 28 weeks and at low risk , undergoing vaginal delivery.
2. Patients having the ability and willingness to provide an informed consent.

 
 
ExclusionCriteria 
Details  1. Hb under 8gm
2. Previous pregnancy associated with PPH.
3. Patient with traumatic PPH due to genital laceration.
4. Antepartum haemorrhage.
5. Multiple pregnancies.
6. Non-cephalic presentation.
7. Multipara, big baby, fibroid uterus, polyhydramnios
8. Previous LSCS
9. Hypertension, pre-eclampsia or pregnancy induced hypertension.
10. Intra uterine death.
11. Seizures, diabetes, renal anomalies, cardiac arrest or coagulation disorders.
12. Choriamnionitis
13. Polyhydraminos.
14. Epidural anaesthesia.
15. Bronchial asthma or respiratory disorders.
 
 
Method of Generating Random Sequence   Adaptive randomization, such as minimization 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. To measure the blood loss in the third stage of labour by changes in the level of haemoglobin and haematocrit after comparing these in both pre-delivery and on day 2 post-delivery of two intervention groups.
2. To assess need of additional uterotonics or surgical methods for the control of postpartum haemorrhage
 
1. To measure the blood loss in the third stage of labour by changes in the level of haemoglobin and haematocrit after comparing these in both pre-delivery-baseline and post-delivery at day 2 and on discharge of two intervention groups.
2. To assess need of additional uterotonics or surgical methods for the control of postpartum haemorrhage post delivery
 
 
Secondary Outcome  
Outcome  TimePoints 
1.To ascertain the side effects of the IM oxytocin & oral misoprostol
2. Need of blood transfusion
 
To be decided at the time of discharge on day 2 after delivery of baby 
 
Target Sample Size   Total Sample Size="146"
Sample Size from India="146" 
Final Enrollment numbers achieved (Total)= "146"
Final Enrollment numbers achieved (India)="146" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   29/07/2024 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
This study is a randomized,parallel group prospective comparative study of Oxytocin 10 IU IM V/S Oral Misoprostol 600 mcg in active management of third stage of labour that will be conducted in India. The primary outcome is to measure the blood loss in the third stage of labour by changes in the level of haemoglobin and haemotocrit after comparing these in both pre and post delivery of two intervention groups and also to assess need of additional uterotonics or surgical methods for the control of postpartum haemorrhage in two intervention groups. The secondary outcomes will be to ascertain the side effects of oxytocin and misoprostol in two intervention groups and also the need of blood transfusion. 

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