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Clinical Trials/NCT00470899
NCT00470899CompletedPhase 3

Effect of Placental Drainage of Fetal Blood at Cesarean Section on the Incidence of Feto-Maternal Transfusion: A Randomized Controlled Trial

Lester E. Cox Medical Centers0 sites86 target enrollmentStarted: January 2005Last updated:
Conditions

Trial Snapshot

Phase
Phase 3
Status
Completed
Enrollment
86
Primary Endpoint
Presence/absence of fetal blood in maternal circulation

Study Overview

Brief Summary

Study hypothesis: umbilical cord drainage of fetal blood after delivery of the infant would reduce the incidence of feto-maternal transfusion. Patients were randomized to placental drainage or no drainage at the time of cesarean section. The incidence of fetal to maternal transfusion was noted postoperatively.

Detailed Description

86 patients were randomized to placental drainage vs. no drainage of fetal blood at the time of cesarean section. Kleihauer-Betke testing was performed within 12 hours postoperatively to assess the incidence of feto-maternal transfusion. A significant difference was found between the two groups.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Double

Eligibility Criteria

Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • All women undergoing cesarean section

Exclusion Criteria

  • Preoperative Kleihauer-Betke, known antepartum erythrocyte sensitization, overt vaginal bleeding, history of a previous delivery by low vertical cesarean section, prolonged rupture of membranes, twin gestation, failure to obtain both preoperative and postoperative Kleihauer-Betke tests.

Outcomes

Primary Outcomes

Presence/absence of fetal blood in maternal circulation

Time Frame: within 12 hours postoperatively

Secondary Outcomes

  • no secondary outcome measures(end of study)

Investigators

Sponsor Class
Other

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