Third Stage of Labor
Conditions
Keywords
third stage, labor, postpartum hemorrhage, homeopathy, arnica, bellis perennis
Brief summary
The homeopathic remedy consisting of Arnica and Bellis perennis have been shown in a previous pilot study (n=33) to reduce blood loss during the third stage of delivery, when compared with placebo treatment. The purpose of this study is to repeat the previous methodology, this time on a larger population. 210 parturients will be randomized to one of three groups: Arnica montana C6 and Bellis perennis C6 (n=70), Arnica montana C30 and Bellis perennis C30 (n=70), or double placebo (n=70).
Interventions
Arnica montana C6 and Bellis perennis C6
Arnica montana C30 and Bellis perennis C30
globule identical to true homeopathy comparators
Sponsors
Study design
Eligibility
Inclusion criteria
* healthy women in 3rd stage of labor * age 20-35 * second to fifth gestation * spontaneous PV delivery * term delivery (37-42nd weeks)
Exclusion criteria
* scarred uterus * multifetal pregnancy * history of bleeding problems * caesarian section delivery * chorioamnionitis * pregnancy-induced hypertension * gestational diabetes mellitus * polyhydramnios, premature rupture of membrane * suspected macrosomy/SGA
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemoglobin levels at 2d postpartum | 48h |
Secondary
| Measure | Time frame |
|---|---|
| time to extrusion of placenta following birth | 24h |
| duration of lochiae secretion | 7days |
| duration of third stage of labor | 24h |
| incidence of endometritis | 7d |
| assess toxic effects of the homeopathic remedies | 7 days |
| serum cortisol levels | within 12h postpartum |
| state of perineum postpartum | 48h |
| assessment of quality-of-life parameters | 7 days |
Countries
Israel