{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T12:39:37Z","timestamp":1774355977219,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T00:00:00Z","timestamp":1540166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007787","name":"National Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007787","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the impact of a cervical traction maneuver (Amr's maneuver) used in conjunction with active management of the third stage of labor (AMTSL) on the incidence of postpartum hemorrhage (PPH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The present multicenter randomized controlled trial was conducted in Cairo between March 1, 2016, and June 30, 2017. Women aged at least 18\u00a0years who had singleton pregnancies and were candidates for vaginal delivery were enrolled. After block randomization, AMTSL was performed for all participants. Following placental delivery, Amr's maneuver using cervical traction for 90\u00a0seconds was carried out in the study group. The primary outcome, incidence of PPH (&gt;500\u00a0mL blood loss) within 6\u00a0hours of delivery, was compared between the study and control groups in an intention\u2010to\u2010treat analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 852 patients randomized to the study (n=426) and control (n=426) groups. The incidence of PPH was significantly lower in the study group compared with the control group (6 [1.4%] vs 19 [4.5%]; <jats:italic>P<\/jats:italic>=0.015). Absolute risk reduction of 3.1% (95% CI 0.8\u20135.6), relative risk reduction of 0.32 (95% CI 0.13\u20130.78), and number needed to treat of 33 (95% CI 129\u201318) were observed in the study group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Amr's maneuver was effective in decreasing the incidence of PPH.<\/jats:p><jats:p><jats:bold>ClinicalTrials.gov Identifier:<\/jats:bold> NCT02660567<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12687","type":"journal-article","created":{"date-parts":[[2018,10,5]],"date-time":"2018-10-05T16:29:51Z","timestamp":1538756991000},"page":"56-61","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["RETRACTED: Multicenter randomized controlled trial assessing the impact of a cervical traction maneuver (Amr's maneuver) on the incidence of postpartum hemorrhage"],"prefix":"10.1002","volume":"144","author":[{"given":"Amr","family":"Hamdy","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics Shoubra Hospital  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama","family":"Azmy","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health National Research Centre  Giza Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rehab","family":"Lotfy","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed A.","family":"Attia","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moutaz M.","family":"Elsherbini","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Al Sawaf","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud M.","family":"Soliman","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwa F.","family":"Sharaf","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Kamel","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed N.","family":"Abd El\u2010Raouf","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health National Research Centre  Giza Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sondos","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health National Research Centre  Giza Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mazen A.","family":"Rasheed","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health National Research Centre  Giza Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haitham","family":"Torky","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Faculty of Medicine October 6th University  Giza Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emad R.","family":"Issak","sequence":"additional","affiliation":[{"name":"ClinAmygate  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,22]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"World Health Organization (WHO) WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage","author":"Dept of Reproductive Health and 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