Dataset Information

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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Publications

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.

Objective

Methods

Results

Conclusion

Publications

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

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