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This is a comparative study which will be conducted in Ain Shams University Maternity hospital to assess the individual and specfic role of controlled cord traction as a part of active management of third stage of labor
300 patients will be randomized into two groups with controlled cord traction and withoout. The primary outcome will be sever postpartum haemorrhage
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| omiited controlled cord traction | Experimental | neither controlled cord traction nor fundal pressure will be applied. The placenta will be delivered physiologically and signs of placental separation will be awaited |
|
| controlled cord traction | Active Comparator | the cord will be held in one hand and the other hand will be placed just above the woman's pubic boneto stabilize the uterus during cord traction |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ommited controlled cord traction | Procedure | No controlled cord traction and no fundal pressure. placenta will be allowed to deliver physiologically |
|
| Measure | Description | Time Frame |
|---|---|---|
| sever post partum haemorrhage | blood loss more than 500 cc | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| duration of third stage of labor | from delivery of the baby to delivery of the placenta | 30 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ahmed M Kotb, MD | Contact | 010086819990 | 0020 | ahmedmkotp@hotmail.com |
| ahmed M kotb, MD | Contact | 1008681999 | 0020 | ahmedmkotp@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ahmed M kotb, MD | Ain Shams University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine, Ain Shams University | Recruiting | Cairo | Cairo Governorate | Egypt |
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| controlled cord traction | Procedure | active management of third stage of labor in the form of uterine massage with controlled cord traction |
|