Omission of Controlled Cord Traction During Active Management of Third Stage of Labor. A Single Blinded Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 320
- 试验地点
- 1
- 主要终点
- sever post partum haemorrhage
研究概览
简要总结
This is a comparative study which will be conducted in Ain Shams University Maternity hospital to assess the individual and specfic role of controlled cord traction as a part of active management of third stage of labor
详细描述
300 patients will be randomized into two groups with controlled cord traction and withoout. The primary outcome will be sever postpartum haemorrhage
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •singleton pregnancy
- •term pregnancy
排除标准
- •episiotomy
- •operative vaginal delivery
- •known coagulation defect
- •Acute complication during labor e.g. eclampsia
研究组 & 干预措施
omiited controlled cord traction
neither controlled cord traction nor fundal pressure will be applied. The placenta will be delivered physiologically and signs of placental separation will be awaited
干预措施: Ommited controlled cord traction (Procedure)
controlled cord traction
the cord will be held in one hand and the other hand will be placed just above the woman's pubic boneto stabilize the uterus during cord traction
干预措施: controlled cord traction (Procedure)
结局指标
主要结局
sever post partum haemorrhage
时间窗: 24 hours
blood loss more than 500 cc
次要结局
- duration of third stage of labor(30 minutes)
研究者
Ahmed Mohamed El Kotb Abdel Fattah
dr. Ahmed Kotb
Ain Shams University