Amr's Maneuver and Postpartum Hemorrhage

ClinAmygate

Status: Completed

Conditions: Postpartum Hemorrhage

Treatments: Procedure: Amr maneuver

Study type: Interventional

Funder types: Other

Identifiers

NCT02660567

15127

Details and patient eligibility

About

The impacts of using Amr's manoeuvre (cervical traction) on atonic postpartum hemorrhage is a randomized controlled, multi-centre study that aims to compare the incidence of post partum hemorrhage (PPH> 500 ml blood loss) within the first 24 hours of labor after using Amr's maneuver with active management of the third stage versus active management alone

Full description

Primary:

Compare the incidence of post partum hemorrhage (PPH> 500 ml blood loss) within the first 24 hours of labor after using Amr's maneuver with active management of the third stage versus active management alone

Secondary:

Comparing:

• The amount of blood loss in each arm of the study
• Hematocrit before and after labor
• Duration from delivery of placenta till discharge from the delivery room

Enrollment: 900 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• All pregnant females aged 18 years or more, candidate for normal vaginal delivery during the period of the study will be included

Exclusion criteria

• Women presenting with pre-existing maternal hemorrhagic conditions such as factor 8 or 9 deficiency or Von Willebrand's disease or those who had assisted vaginal delivery

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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900 participants in 2 patient groups

Amr Maneuver

Experimental group

Description:

Active management of third stage plus Amr's maneuver

Treatment:

Procedure: Amr maneuver

Active management alone

No Intervention group

Description:

Active management of third stage alone