Omission of Controlled Cord Traction During Active Management of Third Stage of Labor

Ain Shams University

Status: Unknown

Conditions: Labor Stage, Third

Treatments: Procedure: controlled cord traction; Procedure: Ommited controlled cord traction

Study type: Interventional

Funder types: Other

Identifiers

NCT02656108

CCO

Details and patient eligibility

About

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

Full description

300 patients will be randomized into two groups with controlled cord traction and withoout. The primary outcome will be sever postpartum haemorrhage

Enrollment: 320 estimated patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• singleton pregnancy
• term pregnancy

Exclusion criteria

• episiotomy
• operative vaginal delivery
• known coagulation defect
• Acute complication during labor e.g. eclampsia

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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320 participants in 2 patient groups

omiited controlled cord traction

Experimental group

Description:

neither controlled cord traction nor fundal pressure will be applied. The placenta will be delivered physiologically and signs of placental separation will be awaited

Treatment:

Procedure: Ommited controlled cord traction

controlled cord traction

Active Comparator group

Description:

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

Treatment:

Procedure: controlled cord traction