New technique for managing retained placenta after vaginal delivery

Management of Retained Placenta With Circular Cord Traction for Placenta Delivery- the "Windmill" Technique of Umbilical Cord Traction

Not applicable Interventional Charite University, Berlin, Germany · NCT04000321

This study is testing a new method called the Windmill technique to see if it works better than traditional ways to help remove a retained placenta after vaginal delivery.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment70 (estimated)
Ages18 Years to 60 Years
SexFemale
SponsorCharite University, Berlin, Germany Academic / other
Locations1 site (Berlin)
Trial IDNCT04000321 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of the Windmill technique, which involves applying a continuous 360-degree traction force on the umbilical cord, compared to traditional methods for managing retained placenta after vaginal delivery. The aim is to determine the success rate of placenta removal using this innovative approach versus conventional strategies. The study will involve a randomized design with 35 participants in each group, assessing the need for manual removal of the retained placenta in both cases.

Who should consider this trial

Good fit: Ideal candidates include women over 18 years old who have consented and are experiencing retained placenta after vaginal delivery.

Not a fit: Patients with known coagulation disorders, significant blood loss, or other specific complications may not benefit from this study.

Why it matters

Potential benefit: If successful, this technique could reduce the need for invasive procedures and associated complications in patients with retained placenta.

How similar studies have performed: Preliminary studies have shown success with the Windmill technique, indicating potential for effective management of retained placenta.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Presence of the written consent of the patient
* The patients must be over 18 years old
* Patients are not limited in their ability to consent

Exclusion Criteria:

* Age under 18
* Limited ability to work
* Known coagulation disorder
* Blood loss\> 500ml
* Known placenta accreta
* No extension of the umbilical cord on traction.

Where this trial is running

Berlin

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions PlacentaRetention
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.