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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625000576426
Ethics application status
Approved
Date submitted
18/02/2025
Date registered
3/06/2025
Date last updated
3/06/2025
Date data sharing statement initially provided
3/06/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Effectiveness of intrauterine packing versus balloon tamponade in controlling postpartum hemorrhage in patients diagnosed with postpartum hemorrhage
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Scientific title
Effectiveness of intrauterine packing versus balloon tamponade in controlling postpartum hemorrhage in patients diagnosed with postpartum hemorrhage
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Secondary ID [1]
314000
0
None
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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
336730
0
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Condition category
Condition code
Reproductive Health and Childbirth
333228
333228
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Two basic interventions (Intrauterine packing and balloon tamponade) will be applied for management of postpartum hemorrhage in this study. The balloon tamponade with 24 fr catheter will be applied by postgraduate resident for 6 to 8 hours in labor room. The deflated catheter will be inserted into the uterine cavity, inflated with 60 to 80 ml of sterile saline and the patient will be kept under direct observation for the said duration and will be considered successful if no bleed found
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Intervention code [1]
330582
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Treatment: Other
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Comparator / control treatment
Intrauterine packing, which will be done with 1 to 3 abdominal packs by postgraduate resident for 6 to 8 hours in labor room and the patient will be kept under direct observation for the said duration, and will be considered successful if no bleed found.
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Control group
Active
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Outcomes
Primary outcome [1]
340799
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Hemostasis
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Assessment method [1]
340799
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Patients will be assessed by direct observation for 6 to 8 hours and visually inspected for any bleeding
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Timepoint [1]
340799
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within 15 minutes of intervention completion
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Secondary outcome [1]
445104
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Hemostasis
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Assessment method [1]
445104
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Visual inspection
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Timepoint [1]
445104
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6 to 8 hours of intervention completion
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Eligibility
Key inclusion criteria
Women age 18 to 40 years
Singleton pregnancy on ultrasound
Gestational age > 36 weeks of last menstrual period (LMP)
Any parity
Postpartum hemorrhage as per operational definition
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Postpartum hemorrhage due to perineal, cervical or vaginal tear
Postpartum hemorrhage due to retained product of placenta
Vaginal delivery after one previous cesarean section,
History of coagulation disorder
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2025
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Actual
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Date of last participant enrolment
Anticipated
31/12/2026
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Actual
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Date of last data collection
Anticipated
31/12/2026
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Actual
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Sample size
Target
246
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
26902
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Pakistan
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State/province [1]
26902
0
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Funding & Sponsors
Funding source category [1]
318506
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Self funded/Unfunded
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Name [1]
318506
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Address [1]
318506
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Country [1]
318506
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Primary sponsor type
University
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Name
College of Physicians and Surgeons, Pakistan
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Address
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Country
Pakistan
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Secondary sponsor category [1]
320904
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None
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Name [1]
320904
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Address [1]
320904
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Country [1]
320904
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317111
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Institutional Review Board, Lady Reading Hospital, Medical Teaching Institute, Peshawar
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Ethics committee address [1]
317111
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Dr. Ali Talha Khalil, Member & Secretary IRB, LRH/MTI Peshawar
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Ethics committee country [1]
317111
0
Pakistan
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Date submitted for ethics approval [1]
317111
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01/07/2024
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Approval date [1]
317111
0
25/07/2024
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Ethics approval number [1]
317111
0
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Summary
Brief summary
This study is intended to compare the effectiveness of intrauterine packing versus balloon tamponade in the management of postpartum hemorrhage. It is hypothesized that balloon tamponade is better than intrauterine packing in achieving hemostasis in patients with postpartum hemorrhage.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
140030
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Dr Ayesha
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Address
140030
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Mohalla Boosa khel, post office Charsadda Town, tehsil & district Charsadda, Khyber Pakhtoonkhwa, Pakistan
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Country
140030
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Pakistan
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Phone
140030
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+923327828046
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Fax
140030
0
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Email
140030
0
[email protected]
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Contact person for public queries
Name
140031
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Ayesha
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Address
140031
0
Mohalla Boosa khel, post office Charsadda Town, tehsil & district Charsadda, Khyber Pakhtoonkhwa, Pakistan
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Country
140031
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Pakistan
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Phone
140031
0
+923327828046
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Fax
140031
0
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Email
140031
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[email protected]
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Contact person for scientific queries
Name
140032
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Ayesha
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Address
140032
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Mohalla Boosa khel, post office Charsadda Town, tehsil & district Charsadda, Khyber Pakhtoonkhwa, Pakistan
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Country
140032
0
Pakistan
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Phone
140032
0
+923327828046
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Fax
140032
0
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Email
140032
0
[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
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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