Post Partum Hemorrhage
Conditions
Brief summary
Policies for timing of cord clamping vary, with early cord clamping generally carried out in the first 60 seconds aLer birth, whereas latercord clamping usually involves clamping the umbilical cord greater than one minute after the birth or when cord pulsation has ceased
Interventions
delayed cord clamping
Sponsors
Study design
Eligibility
Inclusion criteria
* singleton pregnancy * at term * cephalic presentation * spontaneous labor * spontaneous vaginal delivery
Exclusion criteria
* multiple gestation * preterm gestation * induced labor * operative delivery * hypertension or preeclampsia * fetal anomaly * abnormal placentation * planned cord blood banking * maternal bleeding disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in maternal hemoglobin level on post delivery day 1 compared with the predelivery hemoglobin level | day 1 after delivery | The primary outcome was an objective measure of maternal blood loss: the change in maternal hemoglobin level on postdelivery day 1 compared with the predelivery hemoglobin level. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postpartum hemorrhage | at the time of delivery | defined as estimated blood loss\>500cc |
| uterotonic administration | at the time of delivery | — |
| need for blood transfusion | at the time of delivery | — |
| jaundice | day 10 of life | neonatal jaundice |
Countries
Italy