Labor Stage, Third
Conditions
Brief summary
This is a comparative study which will be conducted in Ain Shams University Maternity hospital to assess the individual and specfic role of controlled cord traction as a part of active management of third stage of labor
Detailed description
300 patients will be randomized into two groups with controlled cord traction and withoout. The primary outcome will be sever postpartum haemorrhage
Interventions
No controlled cord traction and no fundal pressure. placenta will be allowed to deliver physiologically
active management of third stage of labor in the form of uterine massage with controlled cord traction
Sponsors
Study design
Eligibility
Inclusion criteria
* singleton pregnancy * term pregnancy
Exclusion criteria
* episiotomy * operative vaginal delivery * known coagulation defect * Acute complication during labor e.g. eclampsia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| sever post partum haemorrhage | 24 hours | blood loss more than 500 cc |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| duration of third stage of labor | 30 minutes | from delivery of the baby to delivery of the placenta |
Countries
Egypt