Postpartum Ultrasound Evaluation for Hemorrhage Risk
This observational study is looking at whether a postpartum ultrasound exam can help predict a type of excessive bleeding after childbirth called "postpartum hemorrhage." This type of bleeding can happen between 1.5 and 24 hours after delivery. Researchers will perform an ultrasound exam about 1.5 to 2 hours after you give birth to measure your uterus, endometrial stripe (lining of the uterus), and check for fibroids (non-cancerous growths). They will also collect information about your medical history, labor, and delivery. This study aims to see if these ultrasound measurements can identify women who might be at higher risk for this "medium-term" bleeding. They plan to include 1725 pregnant women who are planning to deliver at Endeavor Health, are at least 37 weeks pregnant, and speak English.
- Study design
- This is an observational study, meaning researchers will collect information without giving any specific treatment. It plans to include 1725 participants.
- What's involved
- You would have an ultrasound exam performed 1.5 to 2 hours after delivery. Researchers will also collect information about your medical history, labor, and delivery.
- Compensation
- Not stated in the trial record.
- Follow-up
- Your uterine measurements, endometrial stripe, and fibroids will be measured at 1.5-2 hours postpartum.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
Postpartum Ultrasound Evaluation to Assess Risk of Hemorrhage
At a glance
Conditions
Where it's being run
1 sites across 1 statesWho to contact
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Inclusion
Exclusion
What this trial measures
- Ultrasound exam: uterine measurementsFrom enrollment to 1.5-2 hours post partum
* Uterine length (cm) * Uterine width (cm) * Uterine height (cm) These will be correlated with subsequent clinical outcomes, including bleeding events.
- Ultrasound exam: endometrial stripeFrom enrollment to 1.5-2 hours post partum
Width (cm) of the endometrial stripe (measuring displacement of the uterine walls by intrauterine contents (blood, clots, retained placental fragments or other) to include Doppler study) at 3 levels: * Fundal * Lower uterine segment * Cervix These will be correlated with subsequent clinical outcomes, including bleeding events.
- Ultrasound exam:fibroidsFrom enrollment to 1.5-2 hours post partum
Presence of uterine fibroids (number and size in cm of each) These will be correlated with subsequent clinical outcomes, including bleeding events.
- Ultrasound exam: VaginaFrom enrollment to 1.5-2 hours post partum
Caliber of the vagina (cm) (to assess distension by clot) These will be correlated with subsequent clinical outcomes, including bleeding events.
- Ultrasound exam: BladderFrom enrollment to 1.5-2 hours post partum
* Bladder length (cm) * Bladder height (cm) * Bladder width (cm) All other aspects of clinical management will be left to the discretion of the clinical team. These will be correlated with subsequent clinical outcomes, including bleeding events.