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Trial registered on ANZCTR
Registration number
ACTRN12616000632493
Ethics application status
Approved
Date submitted
25/01/2016
Date registered
16/05/2016
Date last updated
26/09/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Factors associated with postpartum hemorrhage maternal morbidity and mortality in Minia Governorate hospitals
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Scientific title
Factors associated with postpartum hemorrhage maternal morbidity and mortality in Minia Governorate hospitals a cross-sectional epidemiological survey
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Secondary ID [1]
288406
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nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
postpartum hemorrhage
297417
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Condition category
Condition code
Reproductive Health and Childbirth
297604
297604
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
all cases will deliver in Minia govern rate hospitals will be followed up for 24h for development of primary PPH ,, cases have had PPH will be followed up for maternal morbidity and mortality outcomes from onset of bleeding till control of bleeding or death .
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Intervention code [1]
293719
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Not applicable
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
297152
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Identification of factors which lead to increase PPH associated maternal mortality by review patient history , investigation and events during labor .
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Assessment method [1]
297152
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Timepoint [1]
297152
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factors identified from start of labor to control of bleeding or death
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Secondary outcome [1]
320172
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factors associated with increase PPH related morbidity by review patient history , investigation and events during labor .
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Assessment method [1]
320172
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Timepoint [1]
320172
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factors associated with increase PPH related morbidity by review patient history , investigation and events during labor . Time point from start of labour to control of bleeding or death .
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Eligibility
Key inclusion criteria
All women will give birth in Minia governorate hospitals complicated with postpartum hemorrhage in 1st 24hours of labor.
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women with incomplete data collection during labor or postpartum period.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Based on previous studies at the same hospital, the incidence of pph was approximately 2.5%. About 10000 women give birth at the hospital every year. So the expected number if cases to be diagnosed with pph during the study period will be 300, Sample size calculation was calculated by EPi Info program depending in the type of the study which was clinical trial. Using proportion of expected outcome among treated group and among control group . Level of statistical significance power used at less than . 0.05. Level of attrition should not exceed 10-15%
the same method was used for calculation of sample size only thing that was changed is the hospital flow per year it was increased this year than it was expected to reach 12000 cases per year .
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
5/07/2016
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Actual
9/07/2016
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Date of last participant enrolment
Anticipated
13/06/2017
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Actual
15/06/2017
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Date of last data collection
Anticipated
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Actual
22/06/2017
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Sample size
Target
300
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Accrual to date
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Final
300
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Recruitment outside Australia
Country [1]
7552
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Egypt
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State/province [1]
7552
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minia
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Funding & Sponsors
Funding source category [1]
292760
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Hospital
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Name [1]
292760
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maternity hospital Minia university
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Address [1]
292760
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Minia university campus street , Minia university , Minia postal code 61519
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Country [1]
292760
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Egypt
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Primary sponsor type
Hospital
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Name
maternity hospital Minia University
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Address
Minia university campus , Minia university , Minia . Minia postal code 61519
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Country
Egypt
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Secondary sponsor category [1]
291490
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University
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Name [1]
291490
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Minia university
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Address [1]
291490
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Minia university campus , minia university , Minia Minia postal code 61519
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Country [1]
291490
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Egypt
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294245
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Minia University faculty of medicine ethical committee
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Ethics committee address [1]
294245
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Faculty of medicine , Minia University campus , Minia university , Minia postcode 61519
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Ethics committee country [1]
294245
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Egypt
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Date submitted for ethics approval [1]
294245
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21/01/2016
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Approval date [1]
294245
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02/07/2016
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Ethics approval number [1]
294245
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Summary
Brief summary
This cross sectional survey study will be carried out in 12 hospitals in Minia governorate during the period from July 2016 till June 2017 after approval of ethical committee faculty of medicine All cases of postpartum hemorrhage will be observed prospectively Maternal morbidity and mortality related to postpartum hemorrhage will be recorded in all cases give birth in Minia governorate hospitals main objective of the study to identify factors that associated with increased maternal morbidity and mortality in cases that will develope primary PPH,study hypothesis if we can understand these factors that increase maternal complication we can avoid them for better maternal outcome Detailed data about all cases will be recorded in the form of personal data obstetric data medical data, data related to medical service and hospital characteristics Personal data Obstetric data Parity Previous mode of delivery Previous history of postpartum hemorrhage Regular antenatal care of current pregnancy Prelabour HB% Birth weight. Medical data who attending delivery 5-Experience of doctor assisting delivery G P or resident or senior resident or specialist or senior specialist or consultant 6-Mangment of third stage :Active or passive 7-Time taken to diagnose postpartum hemorrhage 8-transfer-delivary interval time 9-Hospital referral One or two or managed in same hospital 10-Proceuders done Conservative or Exploration conservative surgery or hysterectomy 11- Hospital will manage postpartum hemorrhage Primary or secondary or tertiary 12-Availability of blood transfusion 13-Number of blood units and blood products units received 14-Type of morbidity Cardiovascular dysfunction Respiratory dysfunction Renal dysfunction. Hepatic dysfunction. Coagulation dysfunction. Neurological dysfunction. Complications of blood transfusion Complications related to fertility 15-I C U admission 16-Maternal mortality related to postpartum hemorrhage objective to assess factors associated with maternal morbidity and mortality in patients with postpartum hemorrhage in Minia governorate hospitals
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Trial website
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Trial related presentations / publications
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Public notes
This cross sectional survey study will be carried out in 12 hospitals in Minia governorate during the period from July 2016 till June 2017 after approval of ethical committee faculty of medicine All cases of postpartum hemorrhage will be observed prospectively Maternal morbidity and mortality related to postpartum hemorrhage will be recorded in all cases give birth in Minia governorate hospitals Inclusion criteria All women will give birth in Minia governorate hospitals complicated with postpartum hemorrhage in 1st 24hours of labor. Exclusion criteria Women with incomplete data collection during labor or postpartum period Detailed data about all cases will be recorded in the form of personal data obstetric data medical data, data related to medical service and hospital characteristics Personal data Age Residence Rural or urban Residence Near or outside the region location of the hospital Body mass index Level of education Primary or secondary or tertiary Social standard: Low or mid or high Obstetric data Parity Previous mode of delivery Previous history of postpartum hemorrhage Regular antenatal care of current pregnancy Prelabour HB% Birth weight. Medical data Anemia Coagulation defect Diabets. Renal disease. Liver disease. Hypertensive disorders. Cardiac disease Data related to medical service delivered Place of delivery 2-Mode of delivery 3-Time of delivery Day or night 4-Who attending delivery 5-Experience of doctor assisting delivery G P or resident or senior resident or specialist or senior specialist or consultant 6-Mangment of third stage :Active or passive 7-Time taken to diagnose postpartum hemorrhage 8-transfer-delivary interval time 9-Hospital referral One or two or managed in same hospital 10-Proceuders done Conservative or Exploration conservative surgery or hysterectomy 11- Hospital will manage postpartum hemorrhage Primary or secondary or tertiary 12-Availability of blood transfusion 13-Number of blood units and blood products units received 14-Type of morbidity Cardiovascular dysfunction Respiratory dysfunction Renal dysfunction. Hepatic dysfunction. Coagulation dysfunction. Neurological dysfunction. Complications of blood transfusion Complications related to fertility 15-I C U admission 16-Maternal mortality related to postpartum hemorrhage objective to assess factors associated with maternal morbidity and mortality in patients with postpartum hemorrhage in Minia governorate hospitals
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Contacts
Principal investigator
Name
63022
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Dr Reham Elkhateeb
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Address
63022
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Reham Elkhateeb Minia University campus , Minia University , Minia , Egypt postcode 61519
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Country
63022
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Egypt
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Phone
63022
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+201011966648
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Fax
63022
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2332666
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Email
63022
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[email protected]
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Contact person for public queries
Name
63023
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Ahmad Sameer
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Address
63023
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Minia University campus , Minia University , Minia , Egypt postcode 61519
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Country
63023
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Egypt
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Phone
63023
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00201000222994
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Fax
63023
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2332666
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Email
63023
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[email protected]
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Contact person for scientific queries
Name
63024
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Ahmad Mahran
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Address
63024
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Minia University campus , Minia University , Minia , Egypt postcode 61519
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Country
63024
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Egypt
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Phone
63024
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+201115551073
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Fax
63024
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+201251 55 3226
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Email
63024
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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