Effect of Placenta Delivery Method on Pain, Bleeding and Comfort

NCT ID: NCT06413186

Last Updated: 2024-05-14

Study Results

Results pending

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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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-06

Study Completion Date

2025-03-20

Brief Summary

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The aim of this thesis is to examine the effect of the placenta delivery method on women's postpartum pain, bleeding and comfort. It is a randomized controlled experimental study. The research will be conducted at Mersin Tarsus state hospital between March 2024 and August 2024. The study will be conducted with 140 primiparous women, 70 primiparous pregnant women in the experimental group and 70 primiparous pregnant women in the control group, who meet the research criteria and apply to the delivery room of Tarsus State Hospital between these dates. The research will be carried out with a control group (those receiving routine hospital protocol/where the placenta is delivered with controlled cord traction) and an experimental group (physiological separation of the placenta with a mixed method). Interventions applied to research groups vary depending on the characteristics of the group. In both groups, interventions in the delivery room will be performed by the researcher midwife. If any complications develop during the research, independent of the interventions, if the woman undergoes a cesarean section, or if situations that meet the exclusion criteria occur, that woman will be excluded from the sample. The researcher will apply a routine hospital birth management protocol to both groups during the first three stages of labor. However, the way the placenta is delivered in the third stage (physiological with mixed management or controlled cord traction with active management) will differ. The researcher will apply the Visual Analogue Scale (VAS) twice, at the beginning and at the end of the third phase of labor, apply the Postpartum Comfort Scale at the 4th postpartum hour, and record hemoglobin and hematocrit values at admission to the hospital, which is the hospital's routine protocol, and in the hemogram test at the 6th hour postpartum. HB and HCT values will be used to interpret the amount of postpartum bleeding. The hypotheses of the research are as follows; H1: In the active management of the 3rd stage of labor, delivery of the placenta with controlled cord traction affects the woman's perception of postpartum pain.

H2: In the active management of the 3rd stage of labor, delivering the placenta with controlled cord traction affects the woman's amount of postpartum bleeding.

H3: In the active management of the 3rd stage of labor, delivering the placenta with controlled cord traction affects the woman's postpartum comfort level.

H4: In the mixed management of the 3rd stage of labor, physiological delivery of the placenta affects the woman's perception of postpartum pain.

H5: In the mixed management of the 3rd stage of labor, physiological delivery of the placenta affects the amount of postpartum bleeding of the woman.

H6: In the mixed management of the 3rd stage of labor, physiological delivery of the placenta affects the woman's postpartum comfort level.

Detailed Description

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Conditions

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Placenta Abruptio

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study is a parallel group, randomized controlled study conducted at the public hospital in Tarsus district of Mersin province. It will consist of primiparas (women who will give birth for the first time) who apply to the delivery room of Tarsus State Hospital. The sample of the research was calculated with the G-Power program. The sample size was calculated as 64 primiparous and 128 primiparous in each group. in total. However, assuming that there will be at least 10% data loss during the research, the study will be carried out with a total of 140 primiparas, 70 primiparas in each group. 70 primiparas who meet the inclusion criteria for the study will be assigned to the experimental group (physiological separation of the placenta using a mixed method), and 70 primiparas will be assigned to the control group (controlled cord traction will be used to deliver the placenta). ) through randomization.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Delivery of the placenta by mixed method

In this group; As soon as the baby is born, 10 IU oxytocin will be administered IV to the woman.

The newborn will be placed on the mother's chest for skin-to-skin contact, Uterine tone will be evaluated while the baby is at the mother's breast, The cord will be clamped late (after the pulse in the cord stops/within 1-3 minutes after the baby is born), The placenta will be delivered physiologically.

Group Type EXPERIMENTAL

Uteratonic administration

Intervention Type DRUG

Administer IV 10 IU oxytocin

cord clamping

Intervention Type OTHER

delayed cord clamping

delivery of the placenta

Intervention Type OTHER

Applying controlled core traction

Delivery of the placenta by active method

In this group; As soon as the baby is born, 10 IU oxytocin will be administered IV to the woman.

The newborn will be placed on the mother's chest for skin-to-skin contact, Uterine tone will be evaluated while the baby is at the mother's breast, The cord will be clamped late (after the pulse in the cord stops/within 1-3 minutes after the baby is born), The placenta will be removed with controlled cord traction.

Group Type ACTIVE_COMPARATOR

Uteratonic administration

Intervention Type DRUG

Administer IV 10 IU oxytocin

cord clamping

Intervention Type OTHER

delayed cord clamping

delivery of the placenta

Intervention Type OTHER

Applying controlled core traction

Interventions

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Uteratonic administration

Administer IV 10 IU oxytocin

Intervention Type DRUG

cord clamping

delayed cord clamping

Intervention Type OTHER

delivery of the placenta

Applying controlled core traction

Intervention Type OTHER

Other Intervention Names

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Oxytocin administration

Eligibility Criteria

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Inclusion Criteria

Agreeing to participate in the research

* No communication problems
* Between 19-35 years old
* 38-42 weeks of gestation
* Having a single and healthy fetus and newborn
* Having a vaginal birth
* Firstborn
* Women who are not at risk during birth and postpartum period

Exclusion Criteria

Women who develop complications during birth and the postpartum period (placenta not separating, part of the placenta remaining in the uterus, development of atony, manual rupture of the uterus, cord rupture, etc.)

* Those receiving anticoagulant treatment during pregnancy
* The duration of the 3rd stage of labor lasts more than 30 minutes
* Instrumental (using vacuum/forceps) birth
Minimum Eligible Age

19 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Tarsus University

OTHER

Sponsor Role lead

Responsible Party

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Şengül Uluçam

midwife, Student on master degree program at Tarsus University Midwife

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Tarsus üniversitesi

Mersin, Tarsus, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Şengül Uluçam

Role: CONTACT

+905531600361

Gülüzar Sade

Role: CONTACT

+905467339555

References

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Reference Type BACKGROUND
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McDonald SJ, Middleton P, Dowswell T, Morris PS. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database Syst Rev. 2013 Jul 11;2013(7):CD004074. doi: 10.1002/14651858.CD004074.pub3.

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Reference Type BACKGROUND
PMID: 22895933 (View on PubMed)

Related Links

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https://dergipark.org.tr/tr/download/article-file/547877

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Other Identifiers

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Sengul Ulucam

Identifier Type: -

Identifier Source: org_study_id

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