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Intrarectal Misoprostol in Postpartum Haemorrhage (HEMOSTOP)

This study has been completed.
Information provided by:
University Hospital, Caen Identifier:
First received: May 3, 2010
Last updated: May 19, 2011
Last verified: May 2011

Postpartum haemorrhage (PPH) remains the major cause of maternal mortality in France. The most efficient treatment of severe PPH is sulprostone which is associated with cardiac complications. The objective of this study was to assess the efficacy and the safety of intrarectal misoprostol for curative postpartum haemorrhage treatment.

We conducted a multicenter double blind randomized placebo control trial between June 2004 and December 2007, among consenting women with postpartum haemorrhage and failure to oxytocin treatment.

Our main criteria of judgement was quantification of blood loss and the use of sulprostone between the two groups using either misoprostol intrarectal tablets (5X200mg ) or placebo in similar opaque introducer.

Condition Intervention Phase
Postpartum Haemorrhage
Drug: Misoprostol
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Second-line Treatment of Post-partum Haemorrhage With Intrarectal Misoprostol: a Multicentre, Double Blind, Randomized Placebo-controlled Trial

Resource links provided by NLM:

Further study details as provided by University Hospital, Caen:

Primary Outcome Measures:
  • quantification of blood loss [ Time Frame: 15 minutes after treatment administration ]
    quantification of blood loss and the use of sulprostone between the two groups using either misoprostol intrarectal tablets (5X200mg ) or placebo in similar opaque introducer

Secondary Outcome Measures:
  • Sulprostone Requirement [ Time Frame: 30 minutes after the diagnostic of post-partum hemorrhage ]
    distribution of blood loss over time, blood loss higher than 500mL after treatment, blood transfusion, changes in haemoglobin concentration and haematocrit levels, recourse to sulprostone, uterine arteries embolizations and hysterectomy

Enrollment: 116
Study Start Date: January 2004
Primary Completion Date: December 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Placebo Comparator: Placebo Drug: Placebo
5 tablets in opque introducer
Experimental: MISOPROSTOL Drug: Misoprostol
5 tablets of 200 microgram geach intra rectal by opaque introducer


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Older than 18 yrs old
  • Giving birth after 32 Weeks of amenorrhea
  • Post-partum haemorrhage due to atony
  • Inefficiency off the first line treatment
  • Written signed consent form

Exclusion Criteria:

  • known allergy to prostaglandin
  • haemostasis anomalies before labour
  • anticoagulant treatment
  • fetal death
  • accreta or percreta placenta
  • under 18 years
  • delivery before 32 weeks of amenorrhea
  • post-partum bleeding not suspected to be due to atonic uterus
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Please refer to this study by its identifier: NCT01116050

Sponsors and Collaborators
University Hospital, Caen
Principal Investigator: Michel DREYFUS, MD, PhD University Hospital, Caen
  More Information

Responsible Party: Monsieur Angel PIQUEMAL, Caen University Hospital Identifier: NCT01116050     History of Changes
Other Study ID Numbers: 03-104
Study First Received: May 3, 2010
Last Updated: May 19, 2011

Additional relevant MeSH terms:
Postpartum Hemorrhage
Pathologic Processes
Obstetric Labor Complications
Pregnancy Complications
Puerperal Disorders
Uterine Hemorrhage
Abortifacient Agents, Nonsteroidal
Abortifacient Agents
Reproductive Control Agents
Physiological Effects of Drugs
Anti-Ulcer Agents
Gastrointestinal Agents
Oxytocics processed this record on May 24, 2017