Active management of the third stage of labor: Uterine Tonus Assessment by Midwife vs. Patient self-administration

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR201402000736158

Enrollment

800

Registered

2014-01-07

Start date

2014-03-01

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pregnancy and Childbirth Postpartum hemorrhage

Interventions

Uterine tonus assessment by a midwife

Uterine tonus assessment by patient

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: - Age ¿ 18 years - Be in labor with an expected vaginal delivery, as assessed by the midwives - Gestation age ¿ 37 weeks - Received antenatal instructions on postnatal uterine tonus assessment - Provided informed consent.

Exclusion criteria

Exclusion criteria: ¿ Age <18 ¿ Elective caesarean delivery ¿Severe anemia (<8g/dL) ¿Placenta praevia ¿Anticipated breech delivery ¿Referred patients who have not received ANC uterine tonus assessment instructions ¿Multiple pregnancy ¿Intra uterine fetal death

Design outcomes

Primary

Measure	Time frame
Postpartum hemorrhage (>500 ml blood loss)	—

Secondary

Measure	Time frame
Severe post-partum hemorrhage (>1000ml blood loss);Use of additional uterotonics;Use of other procedures for management of postpartum hemorrhage (surgery, manual placenta tissue removal);Late (>24 hours) postpartum hemorrhage;Blood transfusion;Maternal resuscitation;Maternal death;Apgar scores at 1 and 5 minutes;Neonatal resuscitation ;Perinatal death	—

Countries

Ghana

Contacts

Public ContactJoyce Browne

PhD candidate

J.L.Browne@umcutrecht.nl31649650071

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Aug 9, 2026