Effect of routine controlled cord traction as part of the active management of the third stage of labour on postpartum haemorrhage: multicentre randomised controlled trial (TRACOR).

ABSTRACT:

Objective

To assess the impact of controlled cord traction on the incidence of postpartum haemorrhage and other characteristics of the third stage of labour in a high resource setting.

Design

Randomised controlled trial.

Setting

Five university hospital maternity units in France.

Participants

Women aged 18 or more with a singleton fetus at 35 or more weeks' gestation and planned vaginal delivery.

Interventions

Women were randomly assigned to management of the third stage of labour by controlled cord traction or standard placenta expulsion (awaiting spontaneous placental separation before facilitating expulsion). Women in both arms received prophylactic oxytocin just after birth.

Main outcome measure

Incidence of postpartum haemorrhage ≥ 500 mL as

SUBMITTER: Deneux-Tharaux C 

PROVIDER: S-EPMC3610557 | biostudies-literature | 2013 Mar

REPOSITORIES: biostudies-literature