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A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss.

ABSTRACT: OBJECTIVE:To evaluate whether controlled cord traction (CCT) for management of the third stage of labor reduced postpartum blood loss compared with a "hands-off" management protocol. METHODS:Women with imminent vaginal delivery were randomly assigned to either a CCT group or a hands-off group. The women received prophylactic oxytocin. The primary outcome was blood loss during the third stage of labor. RESULTS:In total, 103 women were allocated to the CCT group and 101 were allocated to the hands-off group. Median blood loss in the CCT group and the hands-off group was 282.0 mL and 310.2 mL, respectively. The difference in blood loss (-28.2 mL) was not significant (95% confidence interval, -92.3 to 35.9; P=0.126). Blood collection in the hands-off group took 1.2 minutes longer than in the CCT group, which may have contributed to this difference. CONCLUSION:CCT may reduce postpartum blood loss. The present findings support conducting a large trial to determine whether CCT can prevent postpartum hemorrhage.

SUBMITTER: Althabe F

PROVIDER: S-EPMC2771375 | biostudies-literature | 2009 Oct

REPOSITORIES: biostudies-literature

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A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss.

Althabe Fernando F Alemán Alicia A Tomasso Giselle G Gibbons Luz L Vitureira Gerardo G Belizán José M JM Buekens Pierre P

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 20090621 1

<h4>Objective</h4>To evaluate whether controlled cord traction (CCT) for management of the third stage of labor reduced postpartum blood loss compared with a "hands-off" management protocol.<h4>Methods</h4>Women with imminent vaginal delivery were randomly assigned to either a CCT group or a hands-off group. The women received prophylactic oxytocin. The primary outcome was blood loss during the third stage of labor.<h4>Results</h4>In total, 103 women were allocated to the CCT group and 101 were ...[more]

PMID: 19541304

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Dataset Information

A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss.

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A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss.

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