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A Pilot Randomized Controlled Trial of Controlled Cord Traction to Reduce Postpartum Blood Loss

Overview
Journal Int J Gynaecol Obstet
Publisher Wiley
Specialty Gynecology & Obstetrics
Date 2009 Jun 23
PMID 19541304
Citations 12
Authors
Fernando Althabe
Alicia Aleman
Giselle Tomasso
Luz Gibbons
Gerardo Vitureira
Jose M Belizan
Pierre Buekens
Affiliations
Soon will be listed here.
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.

Citing Articles

Postpartum haemorrhage (PPH) rates in randomized trials of PPH prophylactic interventions and the effect of underlying participant PPH risk: a meta-analysis.

Hawker L, Weeks A BMC Pregnancy Childbirth. 2020; 20(1):107.

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Care technologies to prevent and control hemorrhage in the third stage of labor: a systematic review.

Rangel R, Souza M, Bentes C, Souza A, Leitao M, Lynn F Rev Lat Am Enfermagem. 2019; 27:e3165.

PMID: 31432919 PMC: 6703106. DOI: 10.1590/1518-8345.2761.3165.

Distribution of postpartum blood loss: modeling, estimation and application to clinical trials.

de Carvalho J, Piaggio G, Wojdyla D, Widmer M, Gulmezoglu A Reprod Health. 2018; 15(1):199.

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Prevention of postpartum haemorrhage: a distributional approach for analysis.

Piaggio G, de Carvalho J, Althabe F Reprod Health. 2018; 15(Suppl 1):97.

PMID: 29945633 PMC: 6020008. DOI: 10.1186/s12978-018-0530-7.

Room temperature stable carbetocin for the prevention of postpartum haemorrhage during the third stage of labour in women delivering vaginally: study protocol for a randomized controlled trial.

Widmer M, Piaggio G, Abdel-Aleem H, Carroli G, Chong Y, Coomarasamy A Trials. 2016; 17(1):143.

PMID: 26988231 PMC: 4794812. DOI: 10.1186/s13063-016-1271-y.

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