Vol 8 Issue 3 May 2021-June 2021
Mohammed Fath El Bab El-Sayed, Gehane Mahmoud Hamed, Ahmed Hassan Sayed Ahmed, Hadeer Abd El-Shafy Fouad
Abstract: The third stage of labor refers to the interval immediately after the birth of the fetus to the separation and expulsion of the placenta and fetal membranes. Prolongation of the third stage of labor leads to an increased complication rate, particularly the incidence of postpartum hemorrhage. In addition, Postpartum hemorrhage (PPH) accounts for between one quarter to one third of all maternal deaths worldwide and is the major cause of maternal mortality.
Aim of work: To compare the effectiveness of placental cord drainage method as a part of management of third stage of labor in reducing the duration and amount of blood loss of the third stage, against cord clamping method.
Patients and Methods: This is a Prospective Randomized controlled trial. The study was conducted at Helwan University Maternity hospital at labor ward during the period between July 2019 and December 2019. The study included 70 patients attended the labor ward at Helwan University Hospital for uncomplicated vaginal delivery and were divided equally into two groups: a study group and a control group. In the study group, the placental cord was drained before placental delivery, whereas in the control group, the placental cord was clamped. The duration and amount of blood loss of third stage of labor were recorded.
Results: The mean duration of third stage of labor in placental cord drainage group was 3.1±0.3 minutes and in control group it was 4.3±0.7 minutes (p<0.001). The mean blood-loss in placental cord drainage group was 181±16 ml compared to 272±33 ml in the control group (p<0.001). The mean post-delivery drop in hemoglobin was 1.46±0.33 gm/dl in the control group, while it was 0.85±0.22 gm/dl in the study group. The mean drop in hematocrit value was 3.40±1.67 % in the control group and 1.96±0.60 % in the study group (p<0.001).
Conclusion: Placental cord drainage is a simple, safe, and non-invasive method which reduces the duration and amount of blood loss of the third stage of labor when compared with Cord clamping method
Keywords: Third stage of labor- Placental cord drainage- Blood loss.
Title: Influence of placental cord drainage in management of the third stage of labor: A Randomized controlled trial
Author: Mohammed Fath El Bab El-Sayed, Gehane Mahmoud Hamed, Ahmed Hassan Sayed Ahmed, Hadeer Abd El-Shafy Fouad
ISSN 2394-966X
International Journal of Novel Research in Life Sciences
Novelty Journals