Status:
COMPLETED
The Effect of Placental Spontaneous Delivery Versus Manual Removal on Blood Loss During Cesarean Section. A Comparative Study
Lead Sponsor:
Ain Shams University
Conditions:
Cesarean Section Complications
Eligibility:
FEMALE
18-35 years
Phase:
NA
Brief Summary
The mode of placental delivery may contribute to an increase or decrease in the morbidity associated with CS, and many studies have shown it to be a key role in determining the blood loss during CS. M...
Eligibility Criteria
Inclusion
- Age (18 - 35) years.
- Primigravida.
- Unscarred uterus.
- Singleton pregnancy.
- Living baby.
- Body mass index (18 - 30) 37-40 weeks
Exclusion
- Emergency cesarean section due to possibility of maternal distress and blood loss.
- Cesarean hysterectomy as the placenta will be removed with the uterus.
- Abnormally adherent placenta: Placenta accrete, percreta or placenta previa due to failure of placental separation.
- Previous cesarean section as the previous scar may affect placental separation.
- Body mass index less than 18 and more than 30 as extremes of body weight may be associated with increased risks of anemia, bleeding and/or infection.
- Suspected chorioamnionitis to decrease the risk of disseminated infection.
- Bleeding disorders to decrease blood loss.
- Multiple pregnancy due to larger placental volume and blood loss compared with singleton.
- Any pelvic surgery (Appendix - Ovarian cyst. - Ectopic Pregnancy - pelvic abscess)
- Women with medical illness e.g. pre-eclampsia, anemia (Hb less than 11 gm/dl), DM, Cardiac, Renal …etc. to decrease the risk of maternal morbidity.
Key Trial Info
Start Date :
June 1 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 8 2023
Estimated Enrollment :
200 Patients enrolled
Trial Details
Trial ID
NCT05395585
Start Date
June 1 2022
End Date
January 8 2023
Last Update
January 20 2023
Active Locations (1)
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1
Ain Shams University Maternity Hospital
Cairo, Cairo/القاهرة, Egypt, 71350