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IRCT20210607051505N2 IRCT 2021-10-31 Vice Chancellor of Guilan University of Medical Sciences Survey of the effect of date fruit consumption on amount of postpartum hemorrhage. Survey of the effect of date fruit consumption on amount of postpartum hemorrhage in women hospitalized. 2021-11-11 anticipated 98 Complete https://irct.ir/trial/59197 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: The type of randomization is blocking and will be divided into two groups of date consumer and control using the block randomization method with the size of 4 and 6 blocks. The method used to generate the random allocation sequence is from the online randomization service Sealed Envelope Ltd. 2019 will be used (https://www.sealedenvelope.com/simple-randomiser/v1/lists). The method of concealing the allocation is to use sealed envelopes. N/A Postpartum hemorrhage. Intervention 1: Intervention group: Two hours after delivery and stability of the samples 100 gr of Bam Mazafati dates which are weighed and packaged by the researcher, should be given to them to eat within a maximum time of 2 hours. A pack of sanitary pads will be given. Pictorial Blood loss Assessment Chart (PBAC) will be given to them and it should be completed within first 24 hours after delivery based on amount of bleeding. Intervention 2: Control group: In this group, only routine care will be performed. Also a package of sanitary pads and PBAC will be given to them. 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 After sampling
public Maryam Farash
Daneshjoo St., Rasht - Shahid Beheshti Highway, Rasht Town
Rasht Iran (Islamic Republic of) 39841-41469 +98 13 3355 5058 farimah.farash98@gmail.com Rasht University of Medical Sciences scientific Maryam Niknami
Daneshjoo St., Shahid Beheshti Highway, Rasht Town
Rasht Iran (Islamic Republic of) 39841-41469 +98 13 3355 5058 niknami@gums.ac.ir Rasht University of Medical Sciences Iran (Islamic Republic of) Age between 18 and 35 years Having minimum of primary education History of childbirth less than 5 times ( not being grandmultipara) Body Mass Index (BMI) between 18/5 to 29/9 kg/m2 Lack of history and absence of medical disorders and pregnancy complications Not receiving herbal remedies during pregnancy Estimated fetal weight between 2500 to 4500 gr Term and singleton pregnancy Vertex presentation Normal amniotic fluid index in third trimester sonography Normal length of the first, second and third stages based on birth partograph Breastfeeding begins less than two hours after delivery 18 years 35 years Female Rupture of embryonic membranes more than 12 hours Precipitous delivery Operative delivery Grade 3 or 4 tear Retention of placenta Remove placenta with courage Severe bleeding in fourth stage of birth Receive oxytocin more than routine dosage of hospital O72.1 Other immediate postpartum haemorrhage Prevention N/A Intervention group: Two hours after delivery and stability of the samples 100 gr of Bam Mazafati dates which are weighed and packaged by the researcher, should be given to them to eat within a maximum time of 2 hours. A pack of sanitary pads will be given. Pictorial Blood loss Assessment Chart (PBAC) will be given to them and it should be completed within first 24 hours after delivery based on amount of bleeding. Control group: In this group, only routine care will be performed. Also a package of sanitary pads and PBAC will be given to them Postpartum hemorrhage scores within first 24 hours ( primary Postpartum hemorrhage) in pictorial blood loss assessment chart. Timepoint: First 24 hours after intervention. Method of measurement: The method of measuring the Postpartum hemorrhage is the standard pictorial blood loss assessment chart. This tool is a table that shows the days of bleeding in horizontal and bloodstain pads or tampons or clots in vertical rows. Bloody pads or tampons divide to three degrees: mild with 1 score, moderate with 5 score and severe with 20 score. Small and large clots gain 1 and 5 scores, respectively. Women mark table after changing their pads every time within 24 hours after birth. At the end of 24 hours the final scores will be calculated. The cut-off score of severe bleeding is 100 and more. The validity and reliability of PBAC have been proven in numerous studies. Vice Chancellor of Guilan University of Medical Sciences Approved 2021-09-29 Ethics Committee of Guilan University of Medical Sciences Daneshjoo St, Rasht - Shahid Beheshti Highway, Rasht Town Rasht Guilan Iran (Islamic Republic of)