Protocol summary

Study aim
Effects of misoprostol and gum chewing on intestinal ‎motility after cesarean section
Design
This study is a single blind clinical trial.
Settings and conduct
324 pregnant women more than 18 years with single pregnancy candidate cesarean will enter in three intervention groups.The patient is not aware of the intervention type.
Participants/Inclusion and exclusion criteria
Inclusion criteria: age 18-45 years old; single pregnancy; candidate for elective cesarean section (non-emergency). Exclusion criteria: changing the type of anesthesia to the general; presence of clear peritonitis or sepsis; history of previous bowel surgery; thyroid disease; cardiovascular, blood and liver disease; inflammatory bowel disease; history of chronic constipation; history of misoprostol hypersensitivity; electrolyte imbalance; history of allergy to acetaminophen.
Intervention groups
We prescribe 600 milligram misoprostol rectal in cesarean after delivery placenta. The second group received chewing gum 2 hours after the chewing gum for up to 24 hours each day for 3 hours. The third group received suppository of placebo.
Main outcome variables
Effects of misoprostoland gum chewing on intestinal ‎motility after cesarean section

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20141209020258N74
Registration date: 2018-04-13, 1397/01/24
Registration timing: retrospective

Last update: 2018-04-13, 1397/01/24
Update count: 0
Registration date
2018-04-13, 1397/01/24
Registrant information
Name
Fariba Farokhi
Name of organization / entity
Arak University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 86 3222 2003
Email address
f.farokhi@arakmu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2016-09-22, 1395/07/01
Expected recruitment end date
2017-09-23, 1396/07/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the effect of misoprostol and chewing gum on intestinal movements after cesarean delivery
Public title
Comparison of the effect of misoprostol and chewing gum on intestinal movements after cesarean delivery
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
َAge: 18-45 years old Single pregnancy pregnancy Candidate for elective cesarean section (non-emergency)
Exclusion criteria:
Changing the type of anesthesia to the general Presence of clear peritonitis or sepsis History of previous bowel surgery Thyroid disease Cardiovascular, blood and liver disease Inflammatory bowel disease, history of chronic constipation History of misoprostol hypersensitivity Electrolyte imbalance History of allergy to acetaminophen
Age
From 18 years old to 45 years old
Gender
Female
Phase
2-3
Groups that have been masked
  • Participant
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 324
Randomization (investigator's opinion)
Randomized
Randomization description
Simple randomization with random numbers
Blinding (investigator's opinion)
Single blinded
Blinding description
The patient is not aware of the treatment received. Participant is blind.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee Arak University Of Medical Sciences
Street address
Vice chancellor for research, Payambar azam complex, Basij squre, Sardasht, Arak
City
Arak
Province
Markazi
Postal code
3814957558
Approval date
2016-08-22, 1395/06/01
Ethics committee reference number
IR.ARAKMU.REC.1395.207

Health conditions studied

1

Description of health condition studied
Elective cesarean section
ICD-10 code
O82.0
ICD-10 code description
Delivery by elective caesarean section

Primary outcomes

1

Description
Onset of intestinal movements
Timepoint
6 hours after surgery for 4 hours at intervals every 1 hour
Method of measurement
Hearing

2

Description
First time the stool is removed after surgery
Timepoint
After surgery
Method of measurement
Observation

3

Description
Drug side effect
Timepoint
After surgery
Method of measurement
Physical examination

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: we prescribe 600 milligram misoprostol rectal in cesarean after eject placenta.
Category
Treatment - Drugs

2

Description
Intervention group: The second group received chewing gum 2 hours after the chewing gum for up to 24 hours each day for 3 hours.
Category
Treatment - Other

3

Description
Control group: The third group received placebo suppositories.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Taleghani hospital
Full name of responsible person
Dr Nazila Najdi
Street address
Taleghani hospital, Emam khomeini street
City
Arak
Province
Markazi
Postal code
3814957558
Phone
+98 86 3222 2003
Fax
+98 86 3222 2003
Email
najdi@arakmu.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Dr Mohammad Arjmandzadegan
Street address
Vice chancellor for research, Payambar azam complex, Basij squre, Sardasht, Arak
City
Arak
Province
Markazi
Postal code
3814957558
Phone
+98 86 3222 2003
Fax
+98 86 3222 2003
Email
arjmandzadegan@arakmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Arak University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Dr Alireza Kamali
Position
Assisstant professor
Latest degree
Specialist
Other areas of specialty/work
Anesthesiology
Street address
Valiasr Hospital, Valiasr squre, Shahid Shirodi street
City
Arak
Province
Markazi
Postal code
3814957558
Phone
+98 86 3222 2003
Fax
+98 86 3222 2003
Email
alikamaliir@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Dr Nazila Najdi
Position
Assisstant professor
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
Taleghani hospital, Emam khomeini street
City
Arak
Province
Markazi
Postal code
3814957558
Phone
+98 86 3222 2003
Fax
+98 86 3222 2003
Email
najdi@arakmu.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Pegah Eslami
Position
medicine student
Latest degree
Medical doctor
Other areas of specialty/work
General Practitioner
Street address
Vice chancellor for research, Payambar azam complex, Basij squre, Sardasht, Arak
City
Arak
Province
Markazi
Postal code
3814957558
Phone
+98 86 3222 2003
Fax
+98 86 3222 2003
Email
peslami_92@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
When we publish article in journal.
When the data will become available and for how long
After the article is published
To whom data/document is available
researcher in university
Under which criteria data/document could be used
If there are additional questions
From where data/document is obtainable
Dr Nazila Najdi
What processes are involved for a request to access data/document
They have to write letters to the professors and the university
Comments
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