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Postpartum Endometritis

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221. Outpatient Foley For Starting Induction of Labor at TErm

. ] Rates of cesarean delivery [ Time Frame: Assessed from baseline to delivery. ] Rates of operative vaginal delivery [ Time Frame: Assessed at delivery. ] Postpartum hemorrhage [ Time Frame: Assessed at delivery. ] Rates of endometritis [ Time Frame: Assessed from delivery until 30 days post-discharge. ] Rates of hospital readmission within 30 days [ Time Frame: Assessed from time of discharge until 30 days post-discharge. ] Rates of 5-minute Apgar < 7 [ Time Frame: Assessed at time of delivery up (...) of Labor at TErm (OFFSITE) 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 evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02756689 Recruitment Status : Recruiting First Posted : April 29, 2016 Last Update Posted : September 21, 2017 See Sponsor: University of Alabama

2016 Clinical Trials

222. Single Dose Ceftriaxone and Metronidazole Versus Multiple Doses for Antibiotic Prophylaxis at Elective Cesarean Section.

First Posted : April 13, 2016 Last Update Posted : April 13, 2016 Sponsor: Makerere University Information provided by (Responsible Party): Makerere University Study Details Study Description Go to Brief Summary: Delivery by Cesarean section is increasing worldwide and this is the most important risk factor for post partum infection where there is a 5-20% risk of developing post partum infection than women who deliver vaginally Provision of single dose broad spectrum intravenous antibiotics 30-60 (...) minutes before cesarean section has been found to be as effective as multiple doses in reducing post operative infections. At Mulago National referral Hospital mothers who have had elective and are at low risk of post partum infection also receive multiple doses of intravenous antibiotics for up to 7 days. The rationale of the study is to further inform us that single dose preoperative antibiotic prophylaxis is effective in prevention of post operative infection in mothers delivered by elective

2016 Clinical Trials

223. The Optimal Time for Intravenous Antibiotic Prophylaxis in Elective Cesarean Section

: April 19, 2016 Last Update Posted : April 19, 2016 Sponsor: Cairo University Information provided by (Responsible Party): Moutaz Sherbini, Cairo University Study Details Study Description Go to Brief Summary: Objective: To determine the optimal time for intravenous antibiotic prophylaxis administration in pregnant women undergoing elective cesarean section to minimize postpartum infectious complication for both the mother & neonate. Study Design: A randomized comparative study. Setting (...) Other Name: Rocephin Active Comparator: post cord clamping antibiotic group 200 women will receive IV ceftriaxone (2g) immediately after umbilical cord clamping Drug: ceftriaxone IV ceftriaxone (2g) will be given to all participants Other Name: Rocephin Outcome Measures Go to Primary Outcome Measures : endometritis [ Time Frame: up to 4 weeks postoperative ] maternal axillary temperature ≥ 38°C for at least 48 hours, uterine tenderness, infected lochia & leukocytosis. Secondary Outcome Measures

2016 Clinical Trials

224. A Comparative Study of the Effect of Two Partographs on the Cesarean Section Rate in Women in Spontaneous Labour

of oxytocin used (mUI) obstetrical measures associated with possible effects of both strategies on maternal and fetal outcome [ Time Frame: From the admission in the labour ward until the dismissal from maternity (2 to 5 days) ] Rate of uterine hyperstimulation (%) obstetrical measures associated with possible effects of both strategies on maternal and fetal outcome [ Time Frame: From the admission in the labour ward until the dismissal from maternity (2 to 5 days) ] Rate of post-partum hemorrhage (...) by University Hospital, Strasbourg, France. Recruitment status was: Recruiting First Posted : April 18, 2016 Last Update Posted : September 19, 2016 Sponsor: University Hospital, Strasbourg, France Information provided by (Responsible Party): University Hospital, Strasbourg, France Study Details Study Description Go to Brief Summary: In the 2010-french perinatal survey, the overall cesarean section (CS) rate during labour was 21 % and 16% to 38% in case of dystocia. The definition of " dystocia

2016 Clinical Trials

225. Early Amniotomy Versus Delayed Amniotomy Following Foley Catheter Ripening in Nulliparous Labor Induction

Recruitment Status : Recruiting First Posted : February 1, 2017 Last Update Posted : March 26, 2019 See Sponsor: Northwestern University Information provided by (Responsible Party): Emily Miller, Northwestern University Study Details Study Description Go to Brief Summary: Amniotomy (breaking the bag of water) is commonly used in the induction of labor. However, the timing is highly variable. The purpose of this study is to determine if first time mothers undergoing induction of labor with a Foley catheter (...) experience a decrease in their labor time when undergoing early amniotomy (breaking the bag of water within 1 hour of Foley catheter removal) than when undergoing delayed amniotomy (breaking the bag of water at least 4 hours after Foley catheter removal). Other aims include the relationship between timing of amniotomy and cesarean section, postpartum hemorrhage, intrauterine infection, neonatal Apgar score <7 at 5 minutes, neonatal need for intensive care. The investigators hypothesize that induction

2016 Clinical Trials

226. Immediate Versus Delayed Induction in Term-PROM Using or Not Antibiotic Prophylaxis

was: Recruiting First Posted : December 7, 2016 Last Update Posted : December 13, 2016 Sponsor: Hospital de Santa Maria, Portugal Information provided by (Responsible Party): Filipa Faria Vaz Passos, Hospital de Santa Maria, Portugal Study Details Study Description Go to Brief Summary: The primary aim of this study is to determine if antibiotics combined with immediate induction can significantly reduce the rate of maternal and neonatal infection compared with immediate induction alone in women presenting (...) : Cefoxitin Drug: oxytocin/misoprostol Active Comparator: Immediate induction without antibiotic prophylaxis Immediate induction without antibiotic prophylaxis Drug: oxytocin/misoprostol Active Comparator: Delayed induction with antibiotic prophylaxis Delayed induction (>= 12 hours after PROM) with antibiotic prophylaxis Drug: Cefoxitin Drug: oxytocin/misoprostol Outcome Measures Go to Primary Outcome Measures : Maternal and neonatal infection rate [ Time Frame: intrapartum and immediate postpartum

2016 Clinical Trials

227. Chlorhexidine Gluconate vs Povidone-Iodine Vaginal Cleansing Solution Prior to Cesarean Delivery

with 4% chlorhexidine gluconate prior to non-emergent cesarean section. Outcome Measures Go to Primary Outcome Measures : Postoperative wound infection [ Time Frame: 0-14 days postpartum ] Erythema surrounding the incision site or pus-like incisional drainage in the presence or absence of fever Secondary Outcome Measures : Postpartum endometritis [ Time Frame: 0-14 days post-partum ] Clinical diagnosis with temperature of 100.4 degrees F or higher occurring 24 hours after surgery with uterine fundal (...) : Richmond University Medical Center Information provided by (Responsible Party): Nisha Lakhi, MD, Richmond University Medical Center Study Details Study Description Go to Brief Summary: Endometritis, an infection of the uterus in the postpartum period, has been shown to complicate the postoperative course of a cesarean delivery in 6% to 27% of cases. Vaginal cleansing prior to cesarean delivery has been shown to minimize the presence of micro-organisms and risk of infection. Although povidone-iodine

2016 Clinical Trials

228. Oral Probiotics for the Treatment and Prevention of Vulvovaginal Infections in Pregnancy

) ] preterm labor, intrauterine growth restriction (IUGR), PPROM, chorioamnionitis, post-partum fever, post-partum endometritis The rate and type of adverse effects in the probiotic versus placebo groups (e.g gastrointestinal symptoms). [ Time Frame: From randomization until two weeks after delivery (around 4 months) ] Number of urinary tract infections during the study period [ Time Frame: From randomization until delivery (around 4 months) ] The rate of neonatal complications [ Time Frame: 30 days after (...) for details. ClinicalTrials.gov Identifier: NCT02795845 Recruitment Status : Recruiting First Posted : June 10, 2016 Last Update Posted : January 11, 2019 See Sponsor: HaEmek Medical Center, Israel Information provided by (Responsible Party): HaEmek Medical Center, Israel Study Details Study Description Go to Brief Summary: During pregnancy, bacterial vaginosis (BV), abnormal vaginal flora (AVF) and vulvovaginal candidiasis (VVC) are associated with serious complications and discomfort. Yet, treatment

2016 Clinical Trials

229. Clinical Study to Assess the Equivalence of Tranexamic Acid vs Oxytocin in Reducing the PPH

was: Active, not recruiting First Posted : May 18, 2016 Last Update Posted : January 23, 2017 Sponsor: Azienda U.S.L. 1 di Massa e Carrara Information provided by (Responsible Party): Azienda U.S.L. 1 di Massa e Carrara Study Details Study Description Go to Brief Summary: The purpose of this study was to evaluate that the tranexamic acid (TXA)Intravenous and oral, is equivalent oxytocin (OXY),intramuscularly, in reducing the blood loss in post partum period (mL) in patients at the end of pregnancy ( 37-42 (...) w ) at low risk of post partum hemorrhage (PPH). The PPH means a blood loss equal to or greater than 500 ml after a vaginal delivery (the bleeding is defined severe if it exceeds 1000 mL). PPH is called "primary" when blood loss arose within 24 hours after birth. Condition or disease Intervention/treatment Phase Post Partum Haemorrhage Drug: Tranexamic Acid Drug: Oxytocin Phase 3 Detailed Description: This trial includes three arms of treatment : arm A (IMP1Test): TXA 500 mg/ 2 vials (1 gr) slow

2016 Clinical Trials

230. Dilatation or no dilatation of the cervix during cesarean section (Dondi Trial): a randomized controlled trial. (Abstract)

Dilatation or no dilatation of the cervix during cesarean section (Dondi Trial): a randomized controlled trial. To assess the effects of mechanical dilatation of the cervix during cesarean section on postoperative morbidity.A total of 447 women with elective cesarean section were included in the Dondi trial (Dilatation or no dilatation of the cervix during cesarean section). The primary outcome measure of this randomized controlled trial was postpartum hemorrhage (PPH) within 6 weeks (...) . Infectious morbidity (puerperal fever, endometritis, wound infection, and urinary tract infection), blood loss (need for blood transfusion or change in hemoglobin levels), and operating time were also evaluated.The rate of PPH within 6 weeks was not different between the two groups [dilatation group: 5 (2.4 %), no dilatation group: 3 (1.2 %), p = 0.479]. Infectious morbidity, blood loss, and operating time were not diverse as well. The only significant difference between the two groups was the rate

2016 Archives of gynecology and obstetrics Controlled trial quality: uncertain

231. Management of Women with Obesity in Pregnancy

haemorrhage, post partum anaemia and the need for blood transfusion. 58 Active management in all women is associated with a reduced incidence of prolonged third stage of labour and with a reduction in the use of therapeutic oxytocic drugs. † Evidence level 1++ Women with a BMI =30 having a caesarean section have an increased risk of wound infection, and should receive prophylactic antibiotics at the time of surgery, as recommended by the NICE Clinical Guideline No. 13 (Caesarean Section, April 2004). 59 (...) 12. Care during childbirth 11 13. Postnatal care and follow-up after pregnancy 13 14. Local guidelines 15 15. Facilities and equipment 15 16. Education of health professionals 16 17. Areas for further research 17 18. Auditable standards 17 References 18 APPENDIX 1: Process for developing the consensus standards 22 APPENDIX 2: Levels and grades of evidence 26 APPENDIX 3: Maternal and fetal risks in women with a BMI =30 kg/m 2 compared to women with a healthy BMI 27 APPENDIX 4: Pre-pregnancy

2010 Royal College of Obstetricians and Gynaecologists

232. Late Intrauterine Fetal Death and Stillbirth

on routine intrapartum antibiotic prophylaxis in this specific circumstance. No studies were found on the use of antibiotics for the prevention of maternal infection in women with a late IUFD. Intrapartum antibiotic prophylaxis for carriers of group B streptococcus is primarily intended to reduce the risk of neonatal infection. A large prospective study of group B streptococcus carriers in the USA showed that 2.0% of women developed postpartum endometritis. 124 6.6 Are there any special recommendations (...) and preoperative assessment should be cancelled. 8. Psychological and social aspects of care 8.1 What psychological problems can follow late IUFD? Carers must be alert to the fact that mothers, partners and children are all at risk of prolonged severe psychological reactions including post-traumatic stress disorder but that their reactions might be very different. Perinatal death is associated with increased rates of admission owing to postnatal depression. 139 Unresolved normal grief responses can evolve

2010 Royal College of Obstetricians and Gynaecologists

233. Methods of Placental Delivery and the Amount of Blood Loss During Cesarean Section

adding more. Methods of Placental Delivery and the Amount of Blood Loss During Cesarean Section 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 evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02405663 Recruitment Status : Completed First Posted : April 1, 2015 Last Update Posted : May 30, 2017 Sponsor: Benha University Collaborator: Armed Forces (...) : Cesarean section (CS) is one of the most commonly performed major abdominal operations in women worldwide and its rate is increasing dramatically every year. Some of the reported short-term morbidities include hemorrhage, postoperative fever and endometritis. The method of delivering the placenta is one procedure that may contribute to an increase or decrease in the morbidity of CS. On an average 0.5-1 liter of blood is lost during CS, many variable techniques have been tried to reduce this blood loss

2015 Clinical Trials

234. STRIPES Study: Study To Reduce Infection Post cEsarean Section

will be blinded to the arm in which they have been assigned. The purpose of this study is to determine if the use of 2% chlorhexidine gluconate cloths prior to cesarean section reduces the rate of surgical site wound infection and/or postpartum endometritis, which is an infection or inflammation of the endometrium (the inner lining of the uterus). Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 930 participants Allocation: Randomized (...) STRIPES Study: Study To Reduce Infection Post cEsarean Section STRIPES Study: Study To Reduce Infection Post cEsarean Section - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. STRIPES Study: Study To Reduce

2015 Clinical Trials

235. Influence of BIIAL Following PPH on Dorsal Clitoral Artery Blood Flow and FSFI

Age-matched healthy puerperal women Exclusion Criteria: Known Diabetes Melitus or cardiovascular disease Known affection disorder before or during pregnancy B-lynch procedure, ligation of uterine or ovarian artery, hysterectomy and salphingooophorectomy following postpartum hemorrhage Known functional sexual disorder before pregnancy Postoperative endometritis or other puerperal infections Postoperative thromboembolic incidence Cessation of breastfeeding in puerperal period Contacts and Locations (...) to Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number): Layout table for additonal information Responsible Party: Baris KAYA, Assistant Professor, MD, Near East University, Turkey ClinicalTrials.gov Identifier: Other Study ID Numbers: CLITDOP-001 First Posted: April 7, 2015 Last Update Posted: March 22, 2016 Last Verified: March 2016 Keywords provided by Baris KAYA, Near East University, Turkey: Ultrasonography, Doppler, Color Postpartum hemorrhage Bilateral iliac

2015 Clinical Trials

236. The Association Between the Transfer of Lactobacilli From the Gastrointestinal Tract to the Vagina and the Prevention / Eradication of Abnormal Vaginal Flora in High Risk Pregnancies

growth restriction, preterm premature rupture of membranes, chorioamnionitis, post-partum fever, post-partum endometritis, neonatal sepsis and neonatal complications) [ Time Frame: Until delivery (around 4 months) ] The rate and type of adverse effects in the probiotic versus placebo groups [ Time Frame: Until delivery (around 4 months) ] Number of urinary tract infections during the study period [ Time Frame: Until delivery (around 4 months) ] Eligibility Criteria Go to Information from the National (...) . Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02430246 Recruitment Status : Terminated (After completing the part of assessing lactobacilli transfer, it was decided not to proceed further with the masked part of the study.) First Posted : April 30, 2015 Last Update Posted : January 11, 2019 Sponsor: HaEmek Medical Center, Israel Information provided by (Responsible Party): enav yefet, HaEmek Medical Center

2015 Clinical Trials

237. Vaginal Progesterone for the Prolongation of Pregnancy After Arrested Pre-term Labor

(specifically genital abnormalities). The rate of chorioamnionitis and endometritis [ Time Frame: around delivery and up to 1 week post-partum ] Adverse medication reactions [ Time Frame: Up to 13 weeks ] Postpartum hemorrhage [ Time Frame: From delivery and up to 1 week post-partum ] Revision of uterine and cervix and reasons for the procedure [ Time Frame: During the 48 hours from delivery ] Urinary tract or vulvovaginal infection until 36.6 weeks [ Time Frame: Up to 13 weeks ] Eligibility Criteria Go (...) adding more. Vaginal Progesterone for the Prolongation of Pregnancy After Arrested Pre-term Labor 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 evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02430233 Recruitment Status : Recruiting First Posted : April 30, 2015 Last

2015 Clinical Trials

238. Mirena® IUD's Effect on Fallopian Tube Fimbriae and Ovarian Cortical Inclusion Cyst Cell Proliferation

surgery or who already have the Mirena® in place Women using non-hormonal forms of contraception (Note: If a copper IUD is being used, the IUD must be removed prior to or at time of Mirena insertion.) Exclusion Criteria: Any medical contraindication to use of a Mirena® IUD, including: Pregnancy (a pregnancy test is required prior to study entry) Known uterine anomaly that distorts the shape of the uterine cavity Acute pelvic inflammatory disease Postpartum endometritis or endometrial infection Known (...) ). Please remove one or more studies before adding more. Mirena® IUD's Effect on Fallopian Tube Fimbriae and Ovarian Cortical Inclusion Cyst Cell Proliferation 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 evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02477202 Recruitment Status : Active, not recruiting First Posted : June 22, 2015 Last Update

2015 Clinical Trials

239. Comparison of Low-dose and High-dose Oxytocin Regimens for Labor Augmentation

, an expected average of 3 days ] Estimated blood loss greater than 500 milliliters after a vaginal delivery or greater than 1000 milliliters after a cesarean delivery Intrapartum chorioamnionitis [ Time Frame: From date of admission to labor and delivery unit to date of delivery ] Fever greater than 100.4 Fahrenheit in the intrapartum period with the initiation of a therapeutic antibiotic regimen in the intrapartum period Postpartum endometritis [ Time Frame: From date of delivery to date of hospital (...) . Comparison of Low-dose and High-dose Oxytocin Regimens for Labor Augmentation 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 evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02487797 Recruitment Status : Recruiting First Posted : July 1, 2015 Last Update Posted : July 20

2015 Clinical Trials

240. Cervical Ripening for Obese Women: A Randomized, Comparative Effectiveness Trial

: = Non-reassuring fetal heart tones (FHTs) = Maternal exhaustion = Other Composite maternal morbidity as indicated by the number of participants with measures of maternal morbidity [ Time Frame: Induction to discharge (approximately 5 days) ] Measures of maternal morbidity assessed: Maternal ICU admission Postpartum endometritis Surgical-site infections prior to discharge Venous thromboembolism Need for transfusion Maternal death Number of newborns admitted to the neonatal intensive care unit (NICU (...) more. Cervical Ripening for Obese Women: A Randomized, Comparative Effectiveness Trial (CROWN) 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 evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02639429 Recruitment Status : Active, not recruiting First Posted : December 24, 2015 Last Update Posted : March 18, 2019 Sponsor: The University of Texas

2015 Clinical Trials

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