Status:

COMPLETED

Antibiotic Prophylaxis in Ragged Placental Membranes

Lead Sponsor:

Sarawak General Hospital

Collaborating Sponsors:

University Malaysia Sarawak

Conditions:

Endometritis Postpartum

Endometritis

Eligibility:

FEMALE

18+ years

Phase:

NA

Brief Summary

In some centres, women are routinely given a course of antibiotics postnatally if ragged placental membranes were present at delivery. The investigators examined the necessity such an intervention.

Detailed Description

Postpartum endometritis resulting in sepsis remain one of the leading cause of maternal mortality in developing countries. Ragged placental membrane is a risk factor for endometritis and is not infreq...

Eligibility Criteria

Inclusion

  • All women who delivered vaginally beyond 24+0 weeks of gestation and were found to have ragged or retained placental membranes immediately after the third stage of labour were invited to participate in the study.

Exclusion

  • Fever, within 5 days preceding delivery (Axillary temperature \> 37.5oC on 2 or more occasions at least 1 hour apart or temperature \> 38oC on one occasion). This also includes intrapartum fever.
  • Required oral or intravenous antibiotics for any other obstetric-related (ex. third or fourth degree tears, preterm prelabour rupture of membranes) or non- obstetric related (ex. pneumonia, acute pyelonephritis) reasons
  • Prolonged rupture of membrane (\>18 hours)
  • Retroviral disease, on long term oral or parenteral steroid or receiving other forms of immunosuppressants, including chemotherapy within the last one year.
  • Vaginal delivery for an intrauterine death
  • Penicillin allergy

Key Trial Info

Start Date :

October 1 2016

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 1 2017

Estimated Enrollment :

716 Patients enrolled

Trial Details

Trial ID

NCT03459599

Start Date

October 1 2016

End Date

August 1 2017

Last Update

March 12 2018

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