Uterine Massage After Vaginal Delivery

Kanuni Sultan Suleyman Training and Research Hospital

Status: Completed

Conditions: Postpartum Hemorrhage

Treatments: Procedure: active management of third stage of labor

Study type: Interventional

Funder types: Other

Identifiers

NCT03858569

2018/11/42

Details and patient eligibility

About

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.

Full 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.

Enrollment: 500 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18-40 years old women delivering vaginally

Exclusion criteria

• women with bleeding disorder

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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500 participants in 2 patient groups

Oxytocin

Active Comparator group

Description:

10 units of oxytocin will be given intramuscularly immediately after delivery of the fetus

Treatment:

Procedure: active management of third stage of labor

Oxytocin plus uterine massage

Active Comparator group

Description:

10 units of oxytocin will be given intramuscularly immediately after delivery of the fetus and transabdominal uterine massage will be performed.

Treatment:

Procedure: active management of third stage of labor