Format

Send to:

Choose Destination
See comment in PubMed Commons below
Int J Gynaecol Obstet. 2009 Oct;107(1):4-7. doi: 10.1016/j.ijgo.2009.05.021. Epub 2009 Jun 21.

A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss.

Author information

  • 1Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.

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.

PMID:
19541304
[PubMed - indexed for MEDLINE]
PMCID:
PMC2771375
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science Icon for PubMed Central
    Loading ...
    Write to the Help Desk