Amr's Maneuver and Postpartum Hemorrhage

ClinAmygate900 enrolled

Overview

The impacts of using Amr's manoeuvre (cervical traction) on atonic postpartum hemorrhage is a randomized controlled, multi-centre study that aims to compare the incidence of post partum hemorrhage (PPH\> 500 ml blood loss) within the first 24 hours of labor after using Amr's maneuver with active management of the third stage versus active management alone

Primary: Compare the incidence of post partum hemorrhage (PPH\> 500 ml blood loss) within the first 24 hours of labor after using Amr's maneuver with active management of the third stage versus active management alone Secondary: Comparing: * The amount of blood loss in each arm of the study * Hematocrit before and after labor * Duration from delivery of placenta till discharge from the delivery room

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

900

Conditions

Postpartum Hemorrhage

Interventions

Amr maneuverPROCEDURE

sustained traction of the anterior and posterior lips of the cervix by ovum forceps downwards and anteriorly until maximum yield for about 90 seconds

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * All pregnant females aged 18 years or more, candidate for normal vaginal delivery during the period of the study will be included Exclusion Criteria: * Women presenting with pre-existing maternal hemorrhagic conditions such as factor 8 or 9 deficiency or Von Willebrand's disease or those who had assisted vaginal delivery

Locations (1)

Cairo University Hospitals (Kasr Al-Aini)

Giza, Egypt

Outcomes

Primary Outcomes

the incidence of postpartum hemorrhage

the incidence of post partum hemorrhage (PPH\> 500 ml blood loss) within the first 24 hours of labor after using Amr's maneuver with active management of the third stage

Time frame: 24 hour

Data from ClinicalTrials.gov

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