Postpartum hemorrhage. Other immediate postpartum haemorrhage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age between 18 and 35 years Having minimum of primary education History of childbirth less than 5 times ( not being grandmultipara) Body Mass Index (BMI) between 18/5 to 29/9 kg/m2 Lack of history and absence of medical disorders and pregnancy complications Not receiving herbal remedies during pregnancy Estimated fetal weight between 2500 to 4500 gr Term and singleton pregnancy Vertex presentation Normal amniotic fluid index in third trimester sonography Normal length of the first, second and third stages based on birth partograph Breastfeeding begins less than two hours after delivery
Exclusion criteria
Exclusion criteria: Rupture of embryonic membranes more than 12 hours Precipitous delivery Operative delivery Grade 3 or 4 tear Retention of placenta Remove placenta with courage Severe bleeding in fourth stage of birth Receive oxytocin more than routine dosage of hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postpartum hemorrhage scores within first 24 hours ( primary Postpartum hemorrhage) in pictorial blood loss assessment chart. Timepoint: First 24 hours after intervention. Method of measurement: The method of measuring the Postpartum hemorrhage is the standard pictorial blood loss assessment chart. This tool is a table that shows the days of bleeding in horizontal and bloodstain pads or tampons or clots in vertical rows. Bloody pads or tampons divide to three degrees: mild with 1 score, moderate with 5 score and severe with 20 score. Small and large clots gain 1 and 5 scores, respectively. Women mark table after changing their pads every time within 24 hours after birth. At the end of 24 hours the final scores will be calculated. The cut-off score of severe bleeding is 100 and more. The validity and reliability of PBAC have been proven in numerous studies. | — |
Countries
Iran (Islamic Republic of)
Contacts
Rasht University of Medical Sciences