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IRCT20200608047685N1 IRCT 2020-06-30 Mashhad University of Medical Sciences Investigating the effect of acupressure on postpartum hemorrhage The effect of pressure on Gallbladder points on Postpartum Hemorrhage after vaginal delivery 2020-07-22 anticipated 70 Complete https://irct.ir/trial/48711 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: simple.In this method, a table of random numbers is used for randomization. In this way, in order to read random numbers in the mentioned table, from top to bottom, the even numbers are considered for the intervention group and the individual numbers are considered for the control group. 3 post partum hemorrhage. Intervention 1: Intervention group: In the third stage of labor, immediately after removal of the fetus and simultaneous infusion of 20 IU oxytocin, according to national guideline natural childbirth, in groups of 60 seconds on each of the cranial gallbladder (GB8-GB16-GB17-GB18) (collectively 4 minutes) apply. After the expulsion of the placenta and the completion of the third stage of labor, every 15 minutes to an hour (4 cycles) and then every 30 minutes to an hour (two cycles) one cycle of pressure on parts of the above apply (7 cycles Pressure: 28 min pressure ) (distances pressure on the precise location of the control points of the fourth stage of labor, vaginal delivery, according to national guideline, is.Immediately after the placenta is removed, the plastic bags of blood collected by the researcher are placed under the mother's buttocks, and after 2 hours, the blood in these bags is weighed. Intervention 2: Control group: In the control group, normal care of the fourth stage of labor (including injection of 20 units of intravenous oxytocin and uterine massage at intervals of 15 minutes in the first hour after delivery and every 30 minutes in the second hour of delivery), as well as the intervention group at the stated intervals. Immediately after the placenta is removed, the plastic blood collection bags are placed under the mother's buttocks by the researcher, and after 2 hours, the blood in these bags is weighed. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information.
public Mansouri
Ebnesina st,DoctoraCrossroad
Mashhad Iran (Islamic Republic of) 13944-91388 +98 51 3273 5002 mansourie94150@mums.ac.ir Mashhad University of Medical Sciences scientific mansouri
Ebnesina st,DoctoraCrossroad
Mashhad Iran (Islamic Republic of) 13944-91388 +98 51 3273 5002 mansourie94150@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Single pregnancy Healthy and alive fetus Admission for vaginal delivery Pregnancy age 42-37 weeks Vertex position Lack of internal disease and surgery Absence of any scar or wound on the acupressure point No history of cesarean section or previous uterine surgery Body mass index less than 30 Absence of high-risk pregnancy (gestational diabetes, pregnancy hypertension ...) Fourth and less pregnancy 18 years 45 years Female Childbirth with vacuum and forceps Rupture of the uterus or cervix Accelerated Liber (less than 3 hours) Use relaxing medications such as magnesium sulfate or halogenated anesthesia Severe bleeding before the intervention Grade 3 and 4 tears Macrosomia (fetal weight greater than 4.5 kg) Severe arterial bleeding from the tear or episiotomy Manual removal of placenta and membranes Requires additional rutin treatments such as metrogen, misoprostrol o72.1 Prevention N/A Intervention group: In the third stage of labor, immediately after removal of the fetus and simultaneous infusion of 20 IU oxytocin, according to national guideline natural childbirth, in groups of 60 seconds on each of the cranial gallbladder (GB8-GB16-GB17-GB18) (collectively 4 minutes) apply. After the expulsion of the placenta and the completion of the third stage of labor, every 15 minutes to an hour (4 cycles) and then every 30 minutes to an hour (two cycles) one cycle of pressure on parts of the above apply (7 cycles Pressure: 28 min pressure ) (distances pressure on the precise location of the control points of the fourth stage of labor, vaginal delivery, according to national guideline, is.Immediately after the placenta is removed, the plastic bags of blood collected by the researcher are placed under the mother's buttocks, and after 2 hours, the blood in these bags is weighed. Control group: In the control group, normal care of the fourth stage of labor (including injection of 20 units of intravenous oxytocin and uterine massage at intervals of 15 minutes in the first hour after delivery and every 30 minutes in the second hour of delivery), as well as the intervention group at the stated intervals. Immediately after the placenta is removed, the plastic blood collection bags are placed under the mother's buttocks by the researcher, and after 2 hours, the blood in these bags is weighed. Postpartum hemorrhage. Timepoint: 2 hours after delivery, placentas and membranes. Method of measurement: Plastic bags collect blood. Mashhad University of Medical Sciences Approved 2020-04-28 Ethics Committee of Mashhad University of Medical Sciences Ebnesina Ave,Doktora Cross Mashhad Razavi Khorasan Iran (Islamic Republic of)