Health Condition 1: O720- Third-stage hemorrhage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Singleton viable gestation 2) More than or equal to 37 weeks of gestational age. 3) Able to provide informed consent prior to participation.
Exclusion criteria
Exclusion criteria: 1. Known abnormal placentation (placenta previa, accreta). 2. Known coagulopathy, bleeding disorder or current antiplatelet / anticoagulation therapies. 3. Known uterine anomaly, fibroids distorting cavity 4. Severe obstetric complications Severe preeclampsia, eclampsia, HELLP syndrome 5. Known allergy to current AMTSL uterotonics or device materials. 6. Clinical signs of active infection (fever more than 38 C, chorioamnionitis) at the time of vaginal birth. 7. Known or incidentally detected cervical or uterine malignancies. 8. Vaginal Birth After Caesarean Birth 9. Assisted Vaginal Birth
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total blood lossTimepoint: Two hours after birth | — |
Secondary
| Measure | Time frame |
|---|---|
| Any uterine or perineal injury, including any cervical/vaginal lacerations or severe maternal uterine infectionTimepoint: At discharge from the maternity centre;Fall in hemoglobin and hematocritTimepoint: 24 hours after birth;Postpartum blood loss more than 500 ml or 1000 mlTimepoint: After second stage of labour room shift out;Additional uterotonic useTimepoint: After second stage of labour room shift out;Secondary PPH device useTimepoint: After second stage of labour room shift out;Any surgical procedure undertaken to control bleedingTimepoint: At discharge from maternity centre;Post-partum blood transfusion ratesTimepoint: At discharge from maternity centre;Third stage of labor durationTimepoint: After second stage of labour room shift out | — |
Countries
India
Contacts
Rajagiri Hospital