Trial name or title | Active management of the third stage of labour without controlled cord traction: a randomised non-inferiority controlled trial |
Methods | Multi-centre RCT. |
Participants | Women giving birth vaginally. |
Interventions |
Intervention: active management of third stage of labour without CCT: 1)10 units oxytocin IM immediately after birth of baby; 2) delayed cord clamping and 3) placenta delivered by gravity or maternal effort. Comparison: active management of third stage of labour: 1) 10 units oxytocin IM immediately after birth of baby; 2) delayed cord clamping and 3) placenta delivered by controlled cord traction |
Outcomes |
Primary: blood loss > 1000 mL. Secondary: blood transfusions, additional uterotonic; blood loss > 500 mL; postpartum maternal Hb; maternal death; manual removal of placenta; additional surgical procedures (hysterectomy, ligation of vessels); composite outcome of maternal death and serious morbidity; initiation of breastfeeding; side effects of nausea and abdominal pain |
Starting date | November-December 2008. |
Contact information | A Metin Gulmezoglu. Email: gulmezoglum@who.int |
Notes | Eight centres located in Argentina, Egypt, India, Kenya, Philippines, South Africa, Thailand and Uganda |
CCT: controlled cord traction
Hb; haemoglobin
IM: intramuscular
IV: intravenous
RCT: randomised controlled trial