Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
900 participants
INTERVENTIONAL
2016-03-31
2017-07-20
Brief Summary
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Detailed Description
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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
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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Amr Maneuver
Active management of third stage plus Amr's maneuver
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
Active management alone
Active management of third stage alone
No interventions assigned to this group
Interventions
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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
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
FEMALE
Yes
Sponsors
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Cairo University
OTHER
Ain Shams University
OTHER
October 6 University
OTHER
National Research Centre, Egypt
OTHER
ClinAmygate
OTHER
Responsible Party
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Principal Investigators
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Osama Azmy, MD
Role: PRINCIPAL_INVESTIGATOR
Egypt National Research Centre Reproductive Health Research Department
Emad RH Issak, DM
Role: STUDY_DIRECTOR
ClinAmygate
Locations
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Cairo University Hospitals (Kasr Al-Aini)
Giza, , Egypt
Countries
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References
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Kellie FJ, Wandabwa JN, Mousa HA, Weeks AD. Mechanical and surgical interventions for treating primary postpartum haemorrhage. Cochrane Database Syst Rev. 2020 Jul 1;7(7):CD013663. doi: 10.1002/14651858.CD013663.
Hamdy A, Azmy O, Lotfy R, Attia AA, Elsherbini MM, Al Sawaf A, Soliman MM, Sharaf MF, Kamel A, Abd El-Raouf MN, Salem S, Rasheed MA, Torky H, Issak ER. Multicenter randomized controlled trial assessing the impact of a cervical traction maneuver (Amr's maneuver) on the incidence of postpartum hemorrhage. Int J Gynaecol Obstet. 2019 Jan;144(1):56-61. doi: 10.1002/ijgo.12687. Epub 2018 Oct 22.
Other Identifiers
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15127
Identifier Type: -
Identifier Source: org_study_id
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