NCT00711451

Manual and Expressed Placental Removal at Cesarean Delivery and Its Effects on Various Cardiac Indices

Manual and Expressed Placental Removal at Planned Cesarean Delivery and Its Effects on Various Cardiac Indices as Measured By Continuous Wave Doppler Ultrasonography

• Status: Terminated
• Phase: N/A
• Study type: Interventional
• Enrollment: 19 (actual)
• Sponsor: Corewell Health East · Academic / Other
• Sex: Female
• Age: 18 Years – 50 Years
• Healthy volunteers: Accepted

Summary

The purpose of this study is to evaluate whether manual removal of the placenta during a cesarean delivery results in higher changes in the resistance of blood flow throughout the body, also called systemic vascular resistance (SVR)

Detailed description

Patients presenting to William Beaumont Hospital Royal Oak Labor and Delivery for a scheduled low transverse cesarean delivery will be asked to participate in a prospective, randomized study to evaluate any changes in systemic vascular resistance (SVR) pre- and post-delivery. After obtaining informed consent, the patients will be randomized to one of two groups: group 1 will have manual removal of the placenta at cesarean section and group 2 will have expressed removal of the placenta at cesarean section. Both groups will have a pre-operative continuous wave Doppler evaluation and a post-operative continuous wave Doppler evaluation at 24 hours after delivery. Continuous wave Doppler evaluation will be used pre- and post-operatively to evaluate any changes in SVR.

Conditions

• Pregnancy
• Cesarean Delivery

Interventions

Type	Name	Description
BEHAVIORAL	Manual removal	Manual removal of placenta during cesarean delivery
PROCEDURE	Expressed removal	Surgeon will perform an expressed delivery of the placenta

Timeline

• Start date: 2008-07-01
• Primary completion: 2011-02-01
• Completion: 2012-01-01
• First posted: 2008-07-08
• Last updated: 2012-07-16

Locations

1 site across 1 country: United States