NCT05610345

The Effect of Placental Cord Drainage on Postpartum Blood Loss

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 71 (actual)
• Sponsor: University of Tennessee · Academic / Other
• Sex: Female
• Age: 18 Years – 45 Years
• Healthy volunteers: Accepted

Summary

To determine if placental cord drainage decreases the blood loss after spontaneous vaginal delivery

Detailed description

Postpartum hemorrhage complicates 3% of pregnancies in the United States and is a leading cause of maternal morbidity and mortality. ACOG defines PPH as cumulative blood loss greater than 1000cc; however a blood loss \>500cc should be considered abnormal. Primary PPH occurs in the first 24 hours and is largely secondary to uterine agony. ACOG as well as the WHO recommend active management of the third stage of labor to prevent PPH. This includes oxytocin administration, uterine massage, and gentle cord traction. Placental cord drainage (PCD) is the unclamping of the umbilical cord to allow for drainage of the blood from the placenta. It is another technique used to shorten the third stage of labor; however, it has not been well studied

Conditions

• Postpartum Hemorrhage

Interventions

Type	Name	Description
PROCEDURE	Placental Blood Drainage	Immediately after vaginal delivery following delayed cord clamping and cutting of the cord, the cord will be unclamped and blood will be drained from the placenta until cessation of flow.
PROCEDURE	Placenta Blood Not Drained	Placenta Blood Not Drained

Timeline

• Start date: 2022-11-12
• Primary completion: 2023-06-01
• Completion: 2023-06-01
• First posted: 2022-11-09
• Last updated: 2024-02-13

Locations

1 site across 1 country: United States