Retained Placenta Pregnancy and Childbirth Retained placenta and membranes, without haemorrhage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. 600 women with retained placenta for over 30 minutes 2. Written informed consent 3. Estimated gestation at least 34 weeks (or birth weight of 2 kg if gestation unknown) 4. Umbilical cord is clamped and cut 5. In the UK participants should be over 18 years of age, or over 16 and ?Gillick competent? 6. In Uganda participants should be over 18
Exclusion criteria
Exclusion criteria: 1. Vaginal bleeding or maternal haemodynamic instability (Pulse >100 bpm or systolic blood pressure <100 mmHg) necessitating immediate placental removal 2. Torn umbilical cord making catheterisation impossible 3. Completely physiological third stage management (no cord cutting or clamping, no prophylactic oxytocics, no cord traction or fundal pressure) 4. Stillborn baby
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Manual removal of the placenta following randomisation | — |
Secondary
| Measure | Time frame |
|---|---|
| Drop in haemoglobin, measured blood loss, need for transfusion, need for surgery | — |
Countries
Pakistan, Uganda, United Kingdom