A prospective randomised trial on the effect of placental removal method on operative blood loss and on incidence of post-Caesarean section infections

ISRCTN ISRCTN49779257
DOI https://doi.org/10.1186/ISRCTN49779257
Protocol serial number N/A
Sponsor Farhat Hached University Teaching Hospital (Tunisia)
Funder Farhat Hached University Teaching Hospital (Tunisia)
Submission date
12/11/2002
Registration date
12/11/2002
Last edited
27/08/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Samir Hidar
Scientific

71 Rue CH Gallala
H-Sousse
4011
Tunisia

Phone +216 98404526
Email HIDAR.SAMIR@gnet.tn

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Scientific title
Study acronymDEDIAR (from the French "Delivrance Dirigée versus délivrance Artificielle")
Study objectivesNot provided at time of registration
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedObstetrics and gynaecology
InterventionJust before entering the operating room for a Caesarean section, the patients will be randomised in two groups:
1. Direct manual placenta extraction group: the obstetrician's hand is introduced into the uterine cavity and the placenta is removed after creating a cleavage plane
2. Spontaneous placenta removal group: the obstetrician applies gentle traction on the umbilical cord until the placenta passes through the uterine incision

Principal participant variables include: maternal age and parity, gestational age, previous caesarean section, duration of labour, duration of ruptured membranes.

Indications for caesarean section include: elective repeat, labour arrest, malpresentation, foetal distress, antepartum hemoglobin, estimated per operative blood loss, endometritis, wound infection, postpartum haemoglobin, postoperative stay.
Intervention typeOther
Primary outcome measure(s)

Not provided at time of registration

Key secondary outcome measure(s)

Not provided at time of registration

Completion date01/01/2003

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target sample size at registration302
Key inclusion criteriaAll patients requiring elective or emergency Caesarean section with:
1. Gestational age greater than 34 weeks
2. No multiple gestation
3. No placenta praevia
Key exclusion criteriaNot provided at time of registration
Date of first enrolment01/01/2002
Date of final enrolment01/01/2003

Locations

Countries of recruitment

  • Tunisia

Study participating centre

71 Rue CH Gallala
H-Sousse
4011
Tunisia

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2004 Yes No