A Comparison of Manual vs. Spontaneous Removal of the Placenta at Cesarean Section

University of Rochester150 enrolled

Overview

The purpose of this study is to determine if there are differences in operative blood loss with manual vs. spontaneous removal of the placenta during cesarean section.

Patients undergoing scheduled cesarean deliveries are randomized to manual or spontaneous placental removal.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Masking

NONE

Enrollment

150

Conditions

Pregnancy Cesarean Section

Interventions

Manual placental removal at Cesarean deliveryPROCEDURE

Spontaneous placental removal at Cesarean deliveryPROCEDURE

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All term pregnant women 18 years of age and older undergoing scheduled cesarean delivery at Strong Memorial Hospital. Exclusion Criteria: * Prematurity (\<37 weeks) * Preoperative chorioamnionitis * Vaginal delivery of fetus * Emergency Cesarean Delivery * Patient's OB not agreeable to participating in this study.

Locations (1)

Strong Memorial Hospital

Rochester, New York, United States

Outcomes

Primary Outcomes

Hematocrit levels (preoperatively and within 48 hours postoperatively)

Secondary Outcomes

Number of units of blood transfused intraoperatively and postoperatively

Development of uterine infection (endometritis)

Length of postoperative hospital stay

Operative time

Data from ClinicalTrials.gov

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