A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss
- Autores
- Althabe, Fernando; Alemán, Alicia; Tomasso, Giselle; Gibbons, Luz; Vitureira, Gerardo; Belizan, Jose; Buekens, Pierre
- Año de publicación
- 2009
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- 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.
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Alemán, Alicia. No especifíca;
Fil: Tomasso, Giselle. No especifíca;
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Vitureira, Gerardo. Universidad de la República. Facultad de Medicina. Hospital de Clínicas "Dr. Manuel Quintela"; Uruguay
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Buekens, Pierre. University of Tulane; Estados Unidos - Materia
-
pregnancy
delivery
post-partum
hemorraghe - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/247913
Ver los metadatos del registro completo
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CONICET Digital (CONICET) |
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A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood lossAlthabe, FernandoAlemán, AliciaTomasso, GiselleGibbons, LuzVitureira, GerardoBelizan, JoseBuekens, Pierrepregnancydeliverypost-partumhemorraghehttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3OBJECTIVE: 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.Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Alemán, Alicia. No especifíca;Fil: Tomasso, Giselle. No especifíca;Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Vitureira, Gerardo. Universidad de la República. Facultad de Medicina. Hospital de Clínicas "Dr. Manuel Quintela"; UruguayFil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Buekens, Pierre. University of Tulane; Estados UnidosWiley2009-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/247913Althabe, Fernando; Alemán, Alicia; Tomasso, Giselle; Gibbons, Luz; Vitureira, Gerardo; et al.; A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss; Wiley; International Journal of Gynecology Obstetrics; 107; 1; 6-2009; 4-70020-7292CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/10.1016/j.ijgo.2009.05.021info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ijgo.2009.05.021info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:40:53Zoai:ri.conicet.gov.ar:11336/247913instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:40:54.183CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss |
title |
A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss |
spellingShingle |
A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss Althabe, Fernando pregnancy delivery post-partum hemorraghe |
title_short |
A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss |
title_full |
A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss |
title_fullStr |
A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss |
title_full_unstemmed |
A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss |
title_sort |
A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss |
dc.creator.none.fl_str_mv |
Althabe, Fernando Alemán, Alicia Tomasso, Giselle Gibbons, Luz Vitureira, Gerardo Belizan, Jose Buekens, Pierre |
author |
Althabe, Fernando |
author_facet |
Althabe, Fernando Alemán, Alicia Tomasso, Giselle Gibbons, Luz Vitureira, Gerardo Belizan, Jose Buekens, Pierre |
author_role |
author |
author2 |
Alemán, Alicia Tomasso, Giselle Gibbons, Luz Vitureira, Gerardo Belizan, Jose Buekens, Pierre |
author2_role |
author author author author author author |
dc.subject.none.fl_str_mv |
pregnancy delivery post-partum hemorraghe |
topic |
pregnancy delivery post-partum hemorraghe |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.2 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
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. Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: Alemán, Alicia. No especifíca; Fil: Tomasso, Giselle. No especifíca; Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Vitureira, Gerardo. Universidad de la República. Facultad de Medicina. Hospital de Clínicas "Dr. Manuel Quintela"; Uruguay Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: Buekens, Pierre. University of Tulane; Estados Unidos |
description |
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. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-06 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/247913 Althabe, Fernando; Alemán, Alicia; Tomasso, Giselle; Gibbons, Luz; Vitureira, Gerardo; et al.; A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss; Wiley; International Journal of Gynecology Obstetrics; 107; 1; 6-2009; 4-7 0020-7292 CONICET Digital CONICET |
url |
http://hdl.handle.net/11336/247913 |
identifier_str_mv |
Althabe, Fernando; Alemán, Alicia; Tomasso, Giselle; Gibbons, Luz; Vitureira, Gerardo; et al.; A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss; Wiley; International Journal of Gynecology Obstetrics; 107; 1; 6-2009; 4-7 0020-7292 CONICET Digital CONICET |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/10.1016/j.ijgo.2009.05.021 info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ijgo.2009.05.021 |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Wiley |
publisher.none.fl_str_mv |
Wiley |
dc.source.none.fl_str_mv |
reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
reponame_str |
CONICET Digital (CONICET) |
collection |
CONICET Digital (CONICET) |
instname_str |
Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.name.fl_str_mv |
CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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1844614438257164288 |
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13.070432 |