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CompletedNCT02704780Updated Feb 22, 2019

Two Different Regimens of Misoprostol in Retained Placenta

A Phase 2 interventional study of Misoprostol in Postpartum Haemorrhage and Retained Placenta, sponsored by Hawler Medical University. Completed at 1 site in Iraq. Open to female participants aged 15 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-02-22.

Sponsored by Hawler Medical University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
509
Allocation
Randomized
Ages
15 Years to 45 Years
Sex
Female
01

Study summary

This study evaluates intra umbilical vein injection of 800 µg versus 400 µg misoprostol for the treatment of retained placenta to reduce the need of manual removal of placenta under general anaesthesia

Read the detailed description

The third stage of labor may be complicated by retained placenta, which may cause severe bleeding and infection, with a potentially fatal outcome. Manual removal of placenta is the current standard of management of retained placenta which usually requires general or regional anaesthesia at a hospital and it is an invasive procedure that may lead to bleeding, trauma and infection. Intraumbilical injection of uterotonic agent( misoprostol) is an easy, non invasive procedure. A randomized clinical trial are required to determine the difference between two doses of misoprostol 400 versus 800 micro gram for management of retained placenta

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Conditions studied

  • Postpartum Haemorrhage
  • Retained Placenta

Keywords

  • Retained placenta
  • Misoprostol
  • double blind
  • Randomization
  • Haemorrhage
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In context

Postpartum Hemorrhage

445 studies on the registry are indexed under Postpartum Hemorrhage; 75 are open to participants now.

This study's enrollment of 509 is above the median of 148 across 340 interventional studies indexed under Postpartum Hemorrhage.

Browse Postpartum Hemorrhage studies →

Lead sponsor

Hawler Medical University is the lead sponsor of 56 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
15 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • women with a singleton pregnancy, delivered vaginally
  • 28 weeks of gestation and more,
  • had a prolonged third stage of labor (more than 30 minutes) despite active management,
  • Haemodynamically stable and accept to participate in the trial

Exclusion criteria

Exclusion Criteria:

  • multiple pregnancies,
  • previous caesarean delivery,
  • haemodynamically instability, severe anaemia (haemoglobin concentration \<8 g/dL),
  • chorioamnionitis
  • Refused to participate in the trial
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
509 participants (actual)

Study arms

  • Active comparator
    400 Microgram Misoprostol

    Misoprostol 400 micro-gram dissolved in 20 mL normal saline will be injected in the umbilical vein in the first group

    Drug: Misoprostol

  • Active comparator
    800 Microgram Misoprostol

    Misoprostol 800 micro-gram dissolved in 20 mL normal saline will be injected in umbilical cord of the second group

    Drug: Misoprostol

Interventions

  • DrugMisoprostol

    2 regimes of misoprostol 400 microgram and 800 microgram injections used for 2 groups of women

    Also known as: Cytotic

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What researchers measure

Primary outcomes

  1. Delivery of placenta after injection of of 400 Microgram intraumbilical misoprostol versus 800 microgram of misoprostol

    complete delivery of placenta after injection of intraumbilical misoprostol

    Time frame: up to 30 minutes after intraumbilical injection

Secondary outcomes

  1. The amount of blood loss vaginally in both groups

    To estimate the amount of vaginal blood loss from time of injection of the the interventional drug and till the delivery of the placenta

    Time frame: up to 30 minutes after injection of placenta

  2. The time of delivery of placenta in both groups

    the time interval estimation from the injection to complete delivery of the placenta

    Time frame: up to 30 minutes after delivery of the placenta

  3. side effects of misoprostol

    Any side effects related to misoprostol after the injection (Fever, severing , diarrhea)

    Time frame: up to 24 hours after delivery of placenta

07

Study locations

1 site
  • Hawler Medical university
    Erbil, Kurdistan Region 44001, Iraq
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References and documents

Publications

  • Kumar N, Jahanfar S, Haas DM, Weeks AD. Umbilical vein injection for management of retained placenta. Cochrane Database Syst Rev. 2021 Mar 11;3(3):CD001337. doi: 10.1002/14651858.CD001337.pub3. PubMed 33705565 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 22, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02704780
Lead sponsor
Hawler Medical University
Responsible party
Shahla Alalaf (Professor Shahla K.Alalaf, Hawler Medical University) — Principal investigator
First posted
Mar 10, 2016
Start date
Mar 2016
Primary completion
Feb 1, 2019
Completion
Feb 14, 2019
Last update
Feb 22, 2019

Study contacts

Shahla K. Alalaf, professor
principal investigator · Hawler Medical University
Namir G. Al Tawil, Professor
study director · Hawler Medical University
Ariana Kh. Jawad, Assistant professor
study chair · KBMS
Bahar Q. Muhammad, CABOG
study chair · Maternity Teaching Hospital
Jinan N. Hassan, IBMS
study chair · Duhok university
Salim A. Salim, Master
study chair · Azhar University
Khalida M. Ameen, CABOG
study chair · Karkuk Medical college
Maryam B. Mahmood, FICOG
study chair · Sulaimani Maternity Hospital
Khansa H. Abdul Rahman, MBChB
study chair · Maternity Teaching Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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