Uterine Massage After Vaginal Delivery

Study Overview
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Brief Summary
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The participants will be randomized into an oxytocin plus uterine massage group and an oxytocin-only group in the third stage of the labor. Women allocated to the uterine massage group will be provided with trans-abdominal uterine massage starting promptly after delivery of the fetus until delivery of the placenta. The amount of postpartum hemorrhage and placental delivery time will be recorded and compared between the groups.

Detailed Description
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Women allocated to oxytocin only group will be given 10 units of oxytocin intramuscularly immediately after delivery of the fetus. Women allocated to the oxytocin plus uterine massage group will be will be given 10 units of oxytocin intramuscularly immediately after delivery of the fetus and will be provided with trans-abdominal uterine massage starting promptly after delivery of the fetus until delivery of the placenta. Collection of blood loss will be initiated immediately after delivery of the fetus by putting a drape under the woman's buttocks. Collected blood will be weighed and the amount will be recorded in grams.

Official Title
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Effect of Uterine Massage on Postpartum Hemorrhage After Vaginal Delivery

Conditions
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Postpartum Hemorrhage

Intervention / Treatment
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* Procedure: active management of third stage of labor


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18-40 years old women delivering vaginally Exclusion Criteria: women with bleeding disorder

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Oxytocin<br>10 units of oxytocin will be given intramuscularly immediately after delivery of the fetus | Procedure: active management of third stage of labor<br>* Active management of the third stage of the labor will be done administering oxytocin and cord traction.<br>|
| Active Comparator: Oxytocin plus uterine massage<br>10 units of oxytocin will be given intramuscularly immediately after delivery of the fetus and transabdominal uterine massage will be performed. | Procedure: active management of third stage of labor<br>* Active management of the third stage of the labor will be done administering oxytocin and cord traction.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postpartum hemorrhage | The amount of blood loss after delivery of the fetus | during procedure | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration of third stage of the labor | Delivery of the fetus and delivery of the placenta interval | during procedure |