Uterine Massage After Vaginal Delivery

Not Applicable

Completed

• Conditions: Postpartum Hemorrhage
• Interventions: Procedure: active management of third stage of labor

• Registration Number: NCT03858569
• Lead Sponsor: Kanuni Sultan Suleyman Training and Research Hospital

Brief Summary

The participants will be randomized into an oxytocin plus uterine massage group and an oxytocin-only group in the third stage of the labor. Women allocated to the uterine massage group will be provided with trans-abdominal uterine massage starting promptly after delivery of the fetus until delivery of the placenta. The amount of postpartum hemorrhage and placental delivery time will be recorded and compared between the groups.

Detailed Description

Women allocated to oxytocin only group will be given 10 units of oxytocin intramuscularly immediately after delivery of the fetus. Women allocated to the oxytocin plus uterine massage group will be will be given 10 units of oxytocin intramuscularly immediately after delivery of the fetus and will be provided with trans-abdominal uterine massage starting promptly after delivery of the fetus until delivery of the placenta. Collection of blood loss will be initiated immediately after delivery of the fetus by putting a drape under the woman's buttocks. Collected blood will be weighed and the amount will be recorded in grams.

Study Timeline

• Study Start: 2019-01-15
• Study First Submitted: 2019-02-27
• Study First Submitted QC: 2019-02-27
• Study First Posted: 2019-02-28
• Primary Completion: 2019-09-15
• Study Completion: 2019-09-15
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-07
• Last Update Posted: 2024-01-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 500

Inclusion Criteria

• 18-40 years old women delivering vaginally

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Exclusion Criteria

• women with bleeding disorder

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Oxytocin	active management of third stage of labor	10 units of oxytocin will be given intramuscularly immediately after delivery of the fetus
Oxytocin plus uterine massage	active management of third stage of labor	10 units of oxytocin will be given intramuscularly immediately after delivery of the fetus and transabdominal uterine massage will be performed.

Primary Outcome Measures

Name	Time	Method
Postpartum hemorrhage	during procedure	The amount of blood loss after delivery of the fetus

Secondary Outcome Measures

Name	Time	Method
Duration of third stage of the labor	during procedure	Delivery of the fetus and delivery of the placenta interval

Trial Locations

Locations (1)

Kanuni SSTRH; 🇹🇷 Istanbul, Turkey