Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12613000628741
Ethics application status
Not yet submitted
Date submitted
28/05/2013
Date registered
3/06/2013
Date last updated
3/06/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
An Australian study evaluating a specialised blood collection drape to improve midwives' estimation of blood loss during labour.
Query!
Scientific title
A pilot study to evaluate Australian midwives' experiences of using a calibrated blood collection drape to improve estimation of third stage blood loss in labour.
Query!
Secondary ID [1]
282586
0
Nil Known
Query!
Universal Trial Number (UTN)
U1111-1143-6400
Query!
Trial acronym
BLEED trial
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Childbirth
289277
0
Query!
Condition category
Condition code
Reproductive Health and Childbirth
289601
289601
0
0
Query!
Childbirth and postnatal care
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
A calibrated plastic drape (the Evergrand Underbuttocks Surgical Drape) will be placed under the buttocks of the woman at the commencement of third stage labour. It will measure blood loss in the collection pouch and be removed 30 minutes post birth of the placenta and membranes.
Query!
Intervention code [1]
287253
0
Diagnosis / Prognosis
Query!
Intervention code [2]
287277
0
Treatment: Devices
Query!
Comparator / control treatment
Visual estimation of blood loss at 30 minutes post completion of birth of the placenta and membranes.
Query!
Control group
Active
Query!
Outcomes
Primary outcome [1]
289693
0
Degree of difference in Mean (or Median) total estimated (standard care) and measured (drape) blood loss.
Query!
Assessment method [1]
289693
0
Query!
Timepoint [1]
289693
0
Within 30 minutes of cessation of third stage of labour
Query!
Secondary outcome [1]
303035
0
Evaluation of midwives attitudes toward the use of ‘the drape’ via 10 questions on a Likert scale.
Query!
Assessment method [1]
303035
0
Query!
Timepoint [1]
303035
0
During third stage labour
Query!
Secondary outcome [2]
303036
0
Evaluation of midwives attitudes towards standard third stage blood loss estimation via 10 questions on a Likert scale.
Query!
Assessment method [2]
303036
0
Query!
Timepoint [2]
303036
0
During third stage labour
Query!
Eligibility
Key inclusion criteria
Midwives working in birth suite
Query!
Minimum age
21
Years
Query!
Query!
Maximum age
65
Years
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
Yes
Query!
Key exclusion criteria
None
Query!
Study design
Purpose of the study
Diagnosis
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be invited to participate either in person, via mail or telephone and provided a plain language statement and consent form by the midwife researcher not affiliated with the hospital. A consent form will be attached to the letter. Participants will be asked to return the consent form in a secure manner to the research midwife.
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
An associate investigator will place an equal number of data sheets for each group in sealed blank envelopes, place them in a sealed box and shuffle them.
The chief investigator will, on receipt of signed consent form, draw an envelope from the box and assign the participant to the group in the envelope.
Query!
Masking / blinding
Open (masking not used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Not Applicable
Query!
Type of endpoint/s
Safety/efficacy
Query!
Statistical methods / analysis
A Bland and Altman plot and intra-class correlations will be calculated using SPSS.
Query!
Recruitment
Recruitment status
Not yet recruiting
Query!
Date of first participant enrolment
Anticipated
17/07/2013
Query!
Actual
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
20
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
VIC
Query!
Recruitment hospital [1]
1066
0
St Vincents & Mercy Private Hospital - Mercy campus - East Melbourne
Query!
Funding & Sponsors
Funding source category [1]
287369
0
University
Query!
Name [1]
287369
0
Australian Catholic University
Query!
Address [1]
287369
0
Locked Bag 4115, Fitzroy MDC, VIC 3065
Query!
Country [1]
287369
0
Australia
Query!
Primary sponsor type
Hospital
Query!
Name
St Vincent's Hospital Melbourne
Query!
Address
St Vincent's PO Box 2900, Fitzroy VIC 3065
Query!
Country
Australia
Query!
Secondary sponsor category [1]
286115
0
None
Query!
Name [1]
286115
0
Query!
Address [1]
286115
0
Query!
Country [1]
286115
0
Query!
Ethics approval
Ethics application status
Not yet submitted
Query!
Ethics committee name [1]
289344
0
St Vincents Hospital HREC-D
Query!
Ethics committee address [1]
289344
0
St Vincent's PO Box 2900, Fitzroy VIC 3065
Query!
Ethics committee country [1]
289344
0
Australia
Query!
Date submitted for ethics approval [1]
289344
0
24/06/2013
Query!
Approval date [1]
289344
0
Query!
Ethics approval number [1]
289344
0
Query!
Summary
Brief summary
This pilot study aims to determine the accuracy of midwives' third stage labour blood loss estimations and the feasibility of a using a calibrated blood collection drape to measure third stage blood loss in the Australian setting. Australian clinicians tend to estimate third stage blood loss using visual estimation, which underestimates blood loss. Third stage blood loss, postpartum haemorrhage (PPH) and associated anaemia significantly contributes to serious postnatal health complications and maternal mortality. In Australia, PPH occurs in 6.8-9.2% of all births, with variation between states. However, Australian and overseas data has shown a trend increase in PPH and associated morbidity which have triggered a call for further research and improved management of the third stage of labour. One area that needs further research is blood loss estimation accuracy, as visual estimation of third stage blood loss leads to an under-diagnosis of PPH and poor identification of women at risk of complications from anaemia. Overseas researchers have piloted blood collection drapes, which have been found to be accurate for measuring third stage blood loss when compared to visual methods. No studies of the acceptability of these drapes have been conducted and they are untested in Australia. Furthermore, accuracy of Australian clinicians’ visual estimations has not been tested in the clinical setting. This study will compare the mean difference between clinician's visual estimation of third stage blood loss to third stage blood loss measured in a calibrated blood collection drape. Clinican's attitudes towards visual blood estimation and the acceptability of the drape will be surveyed. A cost benefit analysis will also be conducted. The results from this pilot study will inform the design of a multi-centre study involving a larger number of participants.
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
40394
0
Dr Sharon Licqurish
Query!
Address
40394
0
Midwifery Lecturer
Australian Catholic University
School of Nursing, Midwifery & Paramedicine
Locked Bag 4115
Fitzroy MDC, VIC 3065
Query!
Country
40394
0
Australia
Query!
Phone
40394
0
+61 3 9953 3191
Query!
Fax
40394
0
Query!
Email
40394
0
[email protected]
Query!
Contact person for public queries
Name
40395
0
Sharon Licqurish
Query!
Address
40395
0
Midwifery Lecturer
Australian Catholic University
School of Nursing, Midwifery & Paramedicine
Locked Bag 4115
Fitzroy MDC, VIC 3065
Query!
Country
40395
0
Australia
Query!
Phone
40395
0
+61 3 9953 3191
Query!
Fax
40395
0
Query!
Email
40395
0
[email protected]
Query!
Contact person for scientific queries
Name
40396
0
Sharon Licqurish
Query!
Address
40396
0
Midwifery Lecturer
Australian Catholic University
School of Nursing, Midwifery & Paramedicine
Locked Bag 4115
Fitzroy MDC, VIC 3065
Query!
Country
40396
0
Australia
Query!
Phone
40396
0
+61 3 9953 3191
Query!
Fax
40396
0
Query!
Email
40396
0
[email protected]
Query!
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF