Active management of the third stage of labor: Uterine Tonus Assessment by Midwife vs. Patient self-administratio

Not Applicable

Recruiting

• Conditions: Pregnancy and Childbirth; Postpartum hemorrhage

• Registration Number: PACTR201402000736158
• Lead Sponsor: Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-01-07
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: Female
• Target Recruitment: 800

Inclusion Criteria

Age ¿ 18 years
- Be in labor with an expected vaginal delivery, as assessed by the midwives
- Gestation age ¿ 37 weeks
- Received antenatal instructions on postnatal uterine tonus assessment
- Provided informed consent.

Exclusion Criteria

¿Age <18
¿Elective caesarean delivery
¿Severe anemia (<8g/dL)
¿Placenta praevia
¿Anticipated breech delivery
¿Referred patients who have not received ANC uterine tonus assessment instructions
¿Multiple pregnancy
¿Intra uterine fetal death

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Postpartum hemorrhage (>500 ml blood loss)

Secondary Outcome Measures

Name	Time	Method
Severe post-partum hemorrhage (>1000ml blood loss);Use of additional uterotonics;Use of other procedures for management of postpartum hemorrhage (surgery, manual placenta tissue removal);Late (>24 hours) postpartum hemorrhage;Blood transfusion;Maternal resuscitation;Maternal death;Apgar scores at 1 and 5 minutes;Neonatal resuscitation ;Perinatal death