O067 Active Management of the Third Stage of Labor With and Without Controlled Cord Traction: A Randomized Controlled Study

Артымук, Н В; Surina, M.N.; Kolesnikova, N.B.; Marochko, Tatyana Yuryevna

doi:10.1016/s0020-7292(12)60497-4

Cited by 3 publications

(4 citation statements)

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“…It additionally supports the diagnosis of specific etiologies associated with adverse gestation outcomes. [1] Artymuk V et al [5] emphasized that initial examination of the placenta should be performed wherever the birth occurred. This should note the cord insertion in the fetal surface, the number of cord vessels, total cord length, membranes, the presence of amnion & chorion, the presence of offensive odor, and, finally, completeness and cloudiness.…”

Section: Introductionmentioning

confidence: 99%

Protocol for improving nursing performance towards placental examination at labor units

Hassan

Mohamady

El-Gawad

2017

CNS

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Objective: The placenta is derived from both maternal and fetal tissue with approximately one fifth derived from fetal tissue at term. The placenta should be examined, as it reflects disease in the mother and the fetus. Aim: The aim is to implement a protocol for improving nursing performance towards placental examination at labor units. Methods: Design: A quasi-experimental design was adopted. Setting: The current study was conducted at the labor unit at Ain Shams maternity hospital and Beni-Suef University hospital. Sample: 42 nurses who were affiliated to labor units (21 nurses of Ain Shams maternity hospital group and 21 nurses of Beni-Suef University hospital group). Tools: Two tools were used for data collection; structured interview questionnaire and an observation checklist. Results: There was no significant difference between both groups in general characteristics. The majority of the studied nurses from Ain Shams and Beni-Suef hospital, respectively, did not attend any training related to placental examination before conducting the study. Meanwhile, there was a significant improvement in nurses' performance towards placental examination after implementing the program. Conclusions: The placental examination program was effective in improving the nurse's performance at labor units. Recommendation: Policymakers should formulate a national plan of continuing education to help nurses already in the labor force to retain and update their knowledge and clinical skills especially in such topic placental examination and encourage nurses to participate in programs in order to maintain a high level of health care in maternity hospitals.

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Section: Introductionmentioning

confidence: 99%

Protocol for improving nursing performance towards placental examination at labor units

Hassan

Mohamady

El-Gawad

2017

CNS

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“…Figure shows the flow‐chart demonstrating the search and selection process. Five studies , involving 30 532 participant women, fulfilled the inclusion criteria, of which two were conducted in high‐resource (developed) countries and three in low‐resource (developing) countries. One large randomized trial was performed in eight low‐resource countries, including 24 390 participants , and dominated the pooled estimates of effect in the meta‐analysis.…”

Section: Resultsmentioning

confidence: 99%

“…All five studies followed the procedures of three components of AMTSL, but with variations including different timings, doses and routes of administration of prophylactic agents and differences in the time when the cord was clamped and cut. Of the four trials , two were conducted with intramuscular oxytocin (10 IU) administered within 1 min after birth or during the birth of the anterior shoulder , and women in another trial received an intravenous injection of 5 IU oxytocin within 2 min of birth ; one trial did not specify the time after birth . Ergometrine was administered intramuscularly in the earliest trial .…”

Section: Resultsmentioning

confidence: 99%

“…More importantly, there was variation in the time when blood collection was finished, such as at least 15 min and until bleeding stopped, or commonly 1 h and up to 2 h when bleeding continued. Three studies excluded women with any risk factors associated with an increased risk of PPH , whereas the other two did not report on exclusion criteria .…”

Section: Resultsmentioning

confidence: 99%

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