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
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/247913
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/247913
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling 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 Técnicas2025-10-22T12:13:24Zoai: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:34982025-10-22 12:13:24.418CONICET 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
_version_ 1846782535896399872
score 12.982451

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