Evidence map›Paper›PMID 19541304›Full record

Trial reportInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2009

A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood loss.

Fernando Althabe, Alicia Alemán, Giselle Tomasso, Luz Gibbons, Gerardo Vitureira, José M Belizán, Pierre Buekens

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Controlled cord traction for the third stage of labour.The Cochrane database of systematic reviews · 2015
    Pooled it
  4. Postpartum haemorrhage: prevention.BMJ clinical evidence · 2011
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Fernando AlthabeInstitute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Alicia Alemán
Giselle Tomasso
Luz Gibbons
Gerardo Vitureira
José M Belizán
Pierre Buekens
Instituto de Efectividad Clínica y Sanitaria · ARUniversidad de Montevideo · UYHospital de Clínicas · UYTulane University · US

Funding

Latin American Perinatal Health Training ProgramD43TW005492 · FIC · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI BUEKENS, PIERRE · 2001 to 2005
$820k
FIC NIH HHS D43 TW005492FIC NIH HHS D43TW005492
6 · The paper itself

Abstract

objectiveTo evaluate whether controlled cord traction (CCT) for management of the third stage of labor reduced postpartum blood loss compared with a "hands-off" management protocol.

methodsWomen with imminent vaginal delivery were randomly assigned to either a CCT group or a hands-off group. The women received prophylactic oxytocin. The primary outcome was blood loss during the third stage of labor.

resultsIn total, 103 women were allocated to the CCT group and 101 were allocated to the hands-off group. Median blood loss in the CCT group and the hands-off group was 282.0 mL and 310.2 mL, respectively. The difference in blood loss (-28.2 mL) was not significant (95% confidence interval, -92.3 to 35.9; P=0.126). Blood collection in the hands-off group took 1.2 minutes longer than in the CCT group, which may have contributed to this difference.

conclusionCCT may reduce postpartum blood loss. The present findings support conducting a large trial to determine whether CCT can prevent postpartum hemorrhage.

Indexed as

Labor Stage, ThirdUmbilical CordAdolescentAdultDelivery, ObstetricFemaleHumansMaternal MortalityOxytocicsOxytocinPilot ProjectsPostpartum HemorrhagePregnancyTime FactorsTractionYoung AdultOxytocicsOxytocin

Identifiers

PMID19541304
PMCPMC2771375
OpenAlexW2004920948

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.