Amr’s Maneuver and Postpartum Hemorrhage
Overview
The impacts of using Amr's manoeuvre (cervical traction) on atonic postpartum hemorrhage is a randomized controlled, multi-centre study that aims to compare the incidence of post partum hemorrhage (PPH> 500 ml blood loss) within the first 24 hours of labor after using Amr's maneuver with active management of the third stage versus active management alone
Full Title of Study: “The Impacts of Using Amr’s Maneuver (Cervical Traction) on Atonic Postpartum Hemorrhage; Multi-centre Randomized Controlled Study”
Study Type
- Study Type: Interventional
- Study Design
- Allocation: Randomized
- Intervention Model: Parallel Assignment
- Primary Purpose: Prevention
- Masking: Single (Participant)
- Study Primary Completion Date: July 20, 2017
Detailed Description
Primary: Compare the incidence of post partum hemorrhage (PPH> 500 ml blood loss) within the first 24 hours of labor after using Amr's maneuver with active management of the third stage versus active management alone Secondary: Comparing: – The amount of blood loss in each arm of the study – Hematocrit before and after labor – Duration from delivery of placenta till discharge from the delivery room
Interventions
- Procedure: Amr maneuver
- sustained traction of the anterior and posterior lips of the cervix by ovum forceps downwards and anteriorly until maximum yield for about 90 seconds
Arms, Groups and Cohorts
- Experimental: Amr Maneuver
- Active management of third stage plus Amr’s maneuver
- No Intervention: Active management alone
- Active management of third stage alone
Clinical Trial Outcome Measures
Primary Measures
- the incidence of postpartum hemorrhage
- Time Frame: 24 hour
- the incidence of post partum hemorrhage (PPH> 500 ml blood loss) within the first 24 hours of labor after using Amr’s maneuver with active management of the third stage
Participating in This Clinical Trial
Inclusion Criteria
- All pregnant females aged 18 years or more, candidate for normal vaginal delivery during the period of the study will be included Exclusion Criteria:
- Women presenting with pre-existing maternal hemorrhagic conditions such as factor 8 or 9 deficiency or Von Willebrand's disease or those who had assisted vaginal delivery
Gender Eligibility: Female
Minimum Age: 18 Years
Maximum Age: N/A
Are Healthy Volunteers Accepted: Accepts Healthy Volunteers
Investigator Details
- Lead Sponsor
- ClinAmygate
- Collaborator
- Cairo University
- Provider of Information About this Clinical Study
- Sponsor
- Overall Official(s)
- Osama Azmy, MD, Principal Investigator, Egypt National Research Centre Reproductive Health Research Department
- Emad RH Issak, DM, Study Director, ClinAmygate
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