Postpartum Hemorrhage
Conditions
Brief summary
The participants will be randomized into an oxytocin plus uterine massage group and an oxytocin-only group in the third stage of the labor. Women allocated to the uterine massage group will be provided with trans-abdominal uterine massage starting promptly after delivery of the fetus until delivery of the placenta. The amount of postpartum hemorrhage and placental delivery time will be recorded and compared between the groups.
Detailed description
Women allocated to oxytocin only group will be given 10 units of oxytocin intramuscularly immediately after delivery of the fetus. Women allocated to the oxytocin plus uterine massage group will be will be given 10 units of oxytocin intramuscularly immediately after delivery of the fetus and will be provided with trans-abdominal uterine massage starting promptly after delivery of the fetus until delivery of the placenta. Collection of blood loss will be initiated immediately after delivery of the fetus by putting a drape under the woman's buttocks. Collected blood will be weighed and the amount will be recorded in grams.
Interventions
Active management of the third stage of the labor will be done administering oxytocin and cord traction.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-40 years old women delivering vaginally
Exclusion criteria
* women with bleeding disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postpartum hemorrhage | during procedure | The amount of blood loss after delivery of the fetus |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of third stage of the labor | during procedure | Delivery of the fetus and delivery of the placenta interval |
Countries
Turkey (Türkiye)