Omission of Controlled Cord Traction During Active Management of Third Stage of Labor

Omission of Controlled Cord Traction During Active Management of Third Stage of Labor. A Single Blinded Randomized Controlled Trial

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

Inclusion Criteria:

• singleton pregnancy
• term pregnancy

Exclusion Criteria:

• episiotomy
• operative vaginal delivery
• known coagulation defect
• Acute complication during labor e.g. eclampsia