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Phase 4 Completed N=18 Randomized Single-blind Treatment

Trial of IV NTG for CD After Second Stage Arrest for the Prevention of Uterine Extension

Prolonged Second Stage of Labor
Source: ClinicalTrials.gov NCT02265965 ↗
Enrolled (actual)
18
Serious AEs
0.0%
Results posted
May 2020
Primary outcomePrimary: Number of Participants With Uterine Extension of Hysterotomy — 3; 4 Participants
◆ Published Evidence
Emerging
7citations · ~1 / year
The association between nitroglycerin use and adverse outcomes in women undergoing cesarean delivery in the second stage of labor.
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2017 · High-confidence link

Summary

Randomized controlled clinical trial of IV nitroglycerin at cesarean delivery for second stage arrest of descent to prevent or uterine extension at the hysterectomy site.

Linked Publications

  • The association between nitroglycerin use and adverse outcomes in women undergoing cesarean delivery in the second stage of labor.
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2017 · 7 citations · High-confidence link

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Uterine Extension of Hysterotomy
3; 4
PRIMARY
Umbilical Artery Blood pH
7.3; 7.3
PRIMARY
Number of Participants With Deliveries After Which Neonate is Admitted to NICU
1; 2
PRIMARY
Number of Participants With Deliveries in Which Cord Blood Base Deficit is More Negative Than or Equal to Negative 12
7; 11
PRIMARY
APGAR at 5 Minutes
9; 9
SECONDARY
Fetal Extraction Time in Seconds
104.9; 131
SECONDARY
Total Operative Time in Minutes
68.3; 74.2
SECONDARY
Surgical Blood Loss
935.7; 1036.4

Eligibility Criteria

Inclusion Criteria: women 37weeks or greater gestation diagnosed with second stage arrest of descent undergoing cesarean delivery - Exclusion Criteria: elective, active phase arrest cesarean delivery, successful operative vaginal delivery -
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02265965) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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