Management of Delivery
Conditions
Keywords
drainage, pregnancy, active management, postpartum hemorrhage
Brief summary
The purpose of this study is to determine if placental drainage shortens third period of labor and reduces postpartum blood lost.
Detailed description
The study aims to compare the effectiveness of placental drainage versus maintenance of maternal cord clamped end in the third stage of labor to reduce postpartum blood loss.
Interventions
PROCEDUREPlacental drainage
After delivery of the newborn, umbilical cord at mothers end, will be left unclamped until delivery of the placenta.
Sponsors
Instituto Materno Infantil Prof. Fernando Figueira
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Low risk pregnant women * Pregnancy at term * Women at low risk for assisted labor / delivery and postpartum care. * Live Fetus
Exclusion criteria
* Women under 18, mentally handicapped and indigenous; * Women who agreed to participate signed the Informed Consent, but evolved to cesarean section or instrumental delivery by forceps; * Instrumental Delivery by forceps or c-section
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Duration of the third period of labor | Six hours | Time from delivery of the baby to the delivery of the placenta |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postpartum blood loss | 24 hours | Volume of blood lost 24 hours after birth |
| PPH | 24 hours | Postpartum hemorrhage |
| Need of uterotonics | 24 hours | use of aditional uterotonics ( prophylkatic use not included) |
| Need of blood transfusions | until discharge | Need of blood transfusions |
Countries
Brazil
Outcome results
None listed