Simplified Management of Third Stage of Labour
Author Information
Author(s): Gülmezoglu A Metin, Widmer Mariana, Merialdi Mario, Qureshi Zahida, Piaggio Gilda, Elbourne Diana, Abdel-Aleem Hany, Carroli Guillermo, Hofmeyr G Justus, Lumbiganon Pisake, Derman Richard, Okong Pius, Goudar Shivaprasad, Festin Mario, Althabe Fernando, Armbruster Deborah
Primary Institution: UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland
Hypothesis
A simplified package comprising oxytocin 10 IU IM/IV (with or without uterine massage) is as effective as the full AMTSL package.
Conclusion
The study aims to determine if a simplified management package for the third stage of labour can reduce blood loss without increasing risks.
Supporting Evidence
- Active management of the third stage of labour reduces severe postpartum haemorrhage by approximately 60-70%.
- The study will evaluate whether omitting controlled cord traction affects blood loss.
- Recruitment will occur in eight countries over a 12-month period.
- The trial aims to simplify third stage management to improve accessibility in healthcare.
Takeaway
This study is trying to find out if a simpler way to help mothers after giving birth can work just as well as the more complicated method.
Methodology
A hospital-based, multicentre, individually randomized controlled trial.
Participant Demographics
Women delivering vaginally in health facilities across eight countries.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website