Status:
COMPLETED
Active Management of the Third Stage of Labour: Uterine Tonus Assessment by Midwife vs. Patient Self-administration
Lead Sponsor:
UMC Utrecht
Collaborating Sponsors:
Korle-Bu Teaching Hospital, Accra, Ghana
University of Ghana
Conditions:
Postpartum Hemorrhage
Eligibility:
FEMALE
18-50 years
Phase:
NA
Brief Summary
To determine whether there is a difference in effectiveness of routine uterine tonus assessment (every 15 minutes, for 2 hours) when performed by a midwife or self-administered by a patient on the inc...
Detailed Description
Rationale: Postpartum haemorrhage (PPH) is the most common cause of maternal death worldwide. The active management of the third stage of labour (AMTSL) is recognized as an effective strategy to preve...
Eligibility Criteria
Inclusion
- Age ≥ 18 years
- Be in labor with an expected vaginal delivery, as assessed by the midwives
- Gestation age ≥ 37 weeks
- Received antenatal instructions on postnatal uterine tonus assessment
- Provided informed consent.
Exclusion
- Age \<18
- Elective caesarean delivery
- Severe anemia (\<8g/dL)
- Placenta praevia
- Anticipated breech delivery
- Referred patients who have not received antenatal care (ANC) uterine tonus assessment instructions
- Multiple Pregnancy
- Intra uterine fetal death
Key Trial Info
Start Date :
April 1 2014
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
August 1 2015
Estimated Enrollment :
800 Patients enrolled
Trial Details
Trial ID
NCT02223806
Start Date
April 1 2014
End Date
August 1 2015
Last Update
November 25 2016
Active Locations (1)
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1
Korle Bu Teaching Hospital
Accra, Ghana