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IRCT20220630055325N1 IRCT 2022-08-16 Yasouj University of Medical Sciences Evaluation of the effect of uterine massage on postpartum hemorrhage Evaluation of the effect of uterine massage on the severity of postpartum hemorrhage after cesarean delivery in low-risk patients 2022-09-23 anticipated 82 Complete https://irct.ir/trial/64743 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, we will use the limited randomization method of the block randomization type. Blocking is usually used in order to balance the number of samples assigned to each of the studied groups. This feature helps the researchers to ensure that the number of samples allocated to each of the studied groups is equal in cases where intermediate analyzes are needed during the sampling process. The randomization tool is also used from random sequence generation software, which in addition to simple randomization, these random sequence generation software are capable of generating random sequence by block method. For concealment, we use random allocation concealment, which refers to the method used to perform a random sequence on study participants, in such a way that the allocated group is not known before individual allocation. By using sealed opaque letter envelopes with a random sequence, in this method, each of the random sequences created is recorded on a card and the cards are placed inside the letter envelopes in order. In order to maintain a random sequence, the outer surface of the envelopes is numbered in the same order. Finally, the lid of the letter envelopes is glued and placed in a box. 3 Postpartum hemorrhage. Intervention 1: Intervention group: In this group, 30 minutes after delivery, the patients are subjected to uterine massage with bimanual technique by a midwife or the researcher to prevent postpartum hemorrhage. A gloved hand is inserted into the vagina and pressed towards the uterus fundus. The other hand is placed above the fundus of the uterus on the abdomen and the uterus is pressed on the hand that is in the vagina. This process takes ten minutes. Intervention 2: Control group: Not receiving uterine massage in any method. 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 further information
public Ali Mirzaei
Yasuj university of medical science
Yasuj Iran (Islamic Republic of) 7591994799 +98 74 3333 7230 ali1272079767@yahoo.com Yasouj University of Medical Sciences scientific Parveen Sadat Islam Nik
Yasouj University of Medical Sciences, Shahid Motahari Boulevard
Yasouj Iran (Islamic Republic of) 7591994799 +98 74 3333 7230 p.eslamnik284@gmail.com Yasouj University of Medical Sciences Iran (Islamic Republic of) Surgical incision on the skin by the Pfannenstiel method and transverse incision on the uterus by the Kerr method Absence of heavy bleeding during cesarean section Consent of the patient and spouse to participate in the study Absence of underlying disease No emergency cesarean section surgery Singleton pregnancy Not taking certain drugs Gestational age greater than or equal to 28 weeks Being in the low-risk group based on risk factors for postpartum hemorrhage including placenta previa, placental abruption, hypertension, macrosomia, non-cephalic presentation, intrauterine infection or use of assisted reproductive technology pre-pregnancy mother's body mass index less than 30 kg/m2 Normal plt count 18 years 34 years Female Hb less than or equal to 9 before delivery O72 Postpartum hemorrhage Prevention Prevention Intervention group: In this group, 30 minutes after delivery, the patients are subjected to uterine massage with bimanual technique by a midwife or the researcher to prevent postpartum hemorrhage. A gloved hand is inserted into the vagina and pressed towards the uterus fundus. The other hand is placed above the fundus of the uterus on the abdomen and the uterus is pressed on the hand that is in the vagina. This process takes ten minutes. Control group: Not receiving uterine massage in any method Severity of postpartum hemorrhage. Timepoint: to 24 after delivery. Method of measurement: Questionnaire and check the amount of bleeding after delivery to CC by performing consecutive examination. Receive a blood transfusion. Timepoint: Until discharge from the hospital. Method of measurement: Patients documents of receiving or not receiving blood. Maternal mortality after childbirth. Timepoint: Until hospital discharge. Method of measurement: Patients documents. Yasouj University of Medical Sciences Approved 2022-06-01 Ethics Committee of Yasouj University of Medical Sciences Yasuj University of Medical Sciences, Shahid Motahari Blvd., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran Yasouj Kohgilouyeh-va-Boyrahmad Iran (Islamic Republic of)