Effectiveness of Placental Drainage in the Third Stage of Labor: a Randomized Clinical Trial

Instituto Materno Infantil Prof. Fernando Figueira226 enrolled

Overview

The purpose of this study is to determine if placental drainage shortens third period of labor and reduces postpartum blood lost.

The study aims to compare the effectiveness of placental drainage versus maintenance of maternal cord clamped end in the third stage of labor to reduce postpartum blood loss.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

226

Conditions

Management of Delivery

Interventions

Placental drainagePROCEDURE

After delivery of the newborn, umbilical cord at mothers end, will be left unclamped until delivery of the placenta.

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Low risk pregnant women * Pregnancy at term * Women at low risk for assisted labor / delivery and postpartum care. * Live Fetus Exclusion Criteria: * Women under 18, mentally handicapped and indigenous; * Women who agreed to participate signed the Informed Consent, but evolved to cesarean section or instrumental delivery by forceps; * Instrumental Delivery by forceps or c-section

Locations (1)

IMIP

Recife, Pernambuco, Brazil

Outcomes

Primary Outcomes

Duration of the third period of labor

Time from delivery of the baby to the delivery of the placenta

Time frame: Six hours

Secondary Outcomes

Postpartum blood loss

Volume of blood lost 24 hours after birth

Time frame: 24 hours

PPH

Postpartum hemorrhage

Time frame: 24 hours

Need of uterotonics

use of aditional uterotonics ( prophylkatic use not included)

Time frame: 24 hours

Need of blood transfusions

Time frame: until discharge

Data from ClinicalTrials.gov

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