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.
RCT Entities:
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.
Authors: Fernando Althabe; Pierre Buekens; Eduardo Bergel; José M Belizán; Marci K Campbell; Nancy Moss; Tyler Hartwell; Linda L Wright Journal: N Engl J Med Date: 2008-05-01 Impact factor: 91.245
Authors: A Metin Gülmezoglu; Mariana Widmer; Mario Merialdi; Zahida Qureshi; Gilda Piaggio; Diana Elbourne; Hany Abdel-Aleem; Guillermo Carroli; G Justus Hofmeyr; Pisake Lumbiganon; Richard Derman; Pius Okong; Shivaprasad Goudar; Mario Festin; Fernando Althabe; Deborah Armbruster Journal: Reprod Health Date: 2009-01-21 Impact factor: 3.223
Authors: José Ferreira de Carvalho; Gilda Piaggio; Daniel Wojdyla; Mariana Widmer; A Metin Gülmezoglu Journal: Reprod Health Date: 2018-12-04 Impact factor: 3.223