SynthesisThe Cochrane database of systematic reviews2007
Fundal pressure versus controlled cord traction as part of the active management of the third stage of labour.
Synthesis in The Cochrane database of systematic reviews, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Prophylactic management of postpartum haemorrhage in the third stage of labour: an overview of systematic reviews.Systematic reviews · 2018Pooled it
- Prophylactic interventions after delivery of placenta for reducing bleeding during the postnatal period.The Cochrane database of systematic reviews · 2013Pooled it
- Umbilical vein injection for the routine management of third stage of labour.The Cochrane database of systematic reviews · 2012Pooled it
- Acute complete uterine inversion after controlled cord traction of placenta following vaginal delivery: a case report.Clinical case reports · 2016Article
- Essential interventions: implementation strategies and proposed packages of care.Reproductive health · 2014Article
- Essential childbirth and postnatal interventions for improved maternal and neonatal health.Reproductive health · 2014Review
- Evidence for perinatal and child health care guidelines in crisis settings: can Cochrane help?BMC public health · 2010Article
- Active management of the third stage of labour without controlled cord traction: a randomized non-inferiority controlled trial.Reproductive health · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are two basic interventions to help to deliver the placenta as part of the active management of the third stage of labour: (1) fundal pressure, and (2) controlled traction on the umbilical cord. Both of these methods may, in addition, have adverse outcomes. Fundal pressure may interrupt the process of placental detachment and cause pain, haemorrhage or uterine inversion, and controlled cord traction, if undertaken before placental separation or without prior administration of a uterotonic drug, may have similar adverse effects. The obstetric clinical practice on this issue is not standardised.
objectivesTo determine the efficacy of fundal pressure versus controlled cord traction as part of the active management of the third stage of labour. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (June 2007), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2006, Issue 2), MEDLINE (January 1966 to April 2006), EMBASE (January 1988 to April 2006) and LILACS (1982 to April 2006). SELECTION CRITERIA: We searched for published and unpublished randomised and quasi-randomised controlled trials. DATA COLLECTION AND ANALYSIS: Two review authors independently identified potential studies from the literature search and assessed them for methodological quality and appropriateness of inclusion. MAIN
resultsThe search strategies yielded five studies for consideration of inclusion. However, none of these studies fulfilled the requirements for inclusion in this review. AUTHORS'
conclusionsWe identified no randomised controlled trials comparing the efficacy of fundal pressure versus controlled cord traction as part of the active management of the third stage of labour. Hence controlled cord traction, after awaiting signs of placental separation, should remain the third component of the active management of third stage of labour, and follow the routine administration of a uterotonic drug and cord clamping.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.