Placental Blood Drainage as a Part of Active Management of Third Stage of Labour After Spontaneous Vaginal Delivery

Roy, Priyankur; Sujatha, M S; Bhandiwad, Ambarisha; Biswas, Bivas; Chatterjee, Anumita

doi:10.1007/s13224-016-0857-3

Cited by 16 publications

(33 citation statements)

References 8 publications

(5 reference statements)

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“…Where, the mean duration of 3rd stage was (5.35+2.3 minutes) in the PCD group compared to (8.9+4.9 minutes) in control group. Moreover, another eight randomized controlled clinical trials conducted in the duration ranged from 2005 to 2017 reported similar results with the current study [17,20,[27][28][29][30][31][32].…”

Section: Discussionsupporting

confidence: 88%

“…Second, Meena et al, 2017 [27] they revealed that blood loss and postpartum hemorrhage during 3 rd stage were significantly reduced in the study group compared to control group. Third, Royet al, 2016 [28] that included 200 women who are randomized between PCD versus active management or active management only groups. The results showed that blood loss during the 3 rd stage of labour and incidence of PPH were significantly lower in the PCD compared to the other two groups.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Placental Cord Drainage on the Third Stage of Labour Progress and Incidence of Postpartum Hemorrhage: Randomized Controlled Clinical Trial

Elgzar¹,

Ibrahim²,

Elkhateeb³

2020

SARJNHC

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Background: Postpartum hemorrhage (PPH) is accountable for around 25% of maternal mortality in the developing countries. Management of 3 rd stage of labour is the cornerstone in PPH prevention. The effect of Placenta Cord Drainage (PCD) on the 3 rd progress and PPH prevention is still controversy. Aim of the study: This study aims to investigate the effect of placental drainage on the third stage of labour progress and incidence of postpartum hemorrhage. Research design: randomized controlled clinical trial. Setting: This study is conducted at normal labour unit at Damanhour educational institution affiliated to ministry of health at Elbehira governorate/Egypt. Sampling: A purposive sample of 120 women undergoing normal easy vaginal delivery. Tools: two tools were used for data collection. Tool I: sociodemographic characteristics and obstetric history interview schedule. Tool II: Labour assessment sheet it consists of three main parts. Part I: Summary of the first and second stage of labor. Part II: third stage assessment sheet. Part III: 3. Early postpartum assessment sheet. Results: The present study results shows no statistical significant differences between PCD and control group regarding vital signs during the 3rd stage, uterus condition after placenta delivery, type, dose and route of uterotonic drugs given during 3rd stage. On the contrary, a statistical significant reduction in the time elapsed until appearance of placenta separation signs (3.5583±0.83915), 3rd stage duration(5.1417±1.03138), amount of blood loss during 3rd stage (195.45±13.994), placenta weight (580.333±64.97631) and incidence of retained placenta ((0%) in the PCD group than control. In the early postpartum assessment, the mean pulse (88.2.7667±3.11022) is higher among control group compared to PCD (83.4667±2.78292) group. Control group needs higher dose of uterotonic (8.6780±2.62902) drugs than PCD (5.0566±1.41985) group. In addition, maternal hemoglobin (9.5234±0.6087) is slightly higher in PCD group compared to control (8.458±0.873). Conclusion: PCD is safe, effective noninvasive intervention that may help in improving 3 rd stage progress. Recommendation: PCD should be added to third stage of labour intervention protocol.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Effect of Placental Cord Drainage on the Third Stage of Labour Progress and Incidence of Postpartum Hemorrhage: Randomized Controlled Clinical Trial

Elgzar¹,

Ibrahim²,

Elkhateeb³

2020

SARJNHC

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“…10 Roy et al showed similar result. 11 In this study the mean difference in blood loss in placental cord drainage group and control group was 57.86 ml which was statistically significant.…”

Section: Discussionmentioning

confidence: 48%

“…[8][9][10] Roy et al and Metin et al found the same results. 11,12 The Cochrane database of systemic reviews concluded that cord drainage results in statistically significant reduction in the length of the third stage of labor. 13 In this study the mean difference in duration of third sage of labour between placental cord drainage group and control group was 1.79 minutes which was statistically significant.…”

Section: Discussionmentioning

confidence: 99%

Placental cord drainage during third stage of labour: a randomized control trial at a tertiary care centre

Chaudhary

Shah

Makwana

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Labour is a physiological process, but it is often associated with morbidity and mortality, with the most common cause being blood loss. Primary postpartum hemorrhage is commonly defined as a blood loss of 500 ml or more within 24 hours after normal vaginal birth. A prolonged third stage of labour (more than 20 min) is associated with postpartum hemorrhage. The present study was undertaken with the objective of assessing efficacy of placental cord drainage (PCD) during active management of third stage of labour.Methods: This is a randomized control trial in which full term primi gravida who were expected to have normal vaginal delivery, admitted in labour room of a tertiary care centre were evaluated for inclusion in the study. Total 126 participants were enrolled after having normal vaginal delivery. In study group (n = 63), placental cord drainage was used for management of third stage of labour while in control group (n = 63), third stage was managed without PCD.Results: The mean difference in duration of third stage of labour in study and control group was 1.79 minute and the mean difference in blood loss during third stage of labour in both groups was 57.86 ml which was statistically significant.Conclusions: The results of this study show small positive effects from cord drainage in reducing the length of the third stage of labour and in reducing the amount of blood loss when compared with those without cord drainage. The observed changes may be of clinical significance in reducing third stage related complications.

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“…There was no statistical significance in the age group. 14 Ferrer P et al in their study done on 300 women with median age of 23.50 years there was no statistical significance in the both groups. 15 Yang et al in their study on 400 women the median age of 22.75 years there was no statistical difference between the two groups.…”

Section: Discussionmentioning

confidence: 84%

Efficacy of tranexamic acid in preventing postpartum haemorrhage in vaginal delivery

Satyavathi¹,

Kanne²

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Postpartum blood loss is difficult to evaluate especially in developing countries like India where most of the women are anaemic with poor reserve and these conditions are further aggravated by increased demand during pregnancy and blood loss during third stage of labour. The present study was planned to compare the efficacy of prophylactic 10 IU intramuscular oxytocin and 10 IU intramuscular oxytocin +1g Tranexamic acid in reducing blood loss in the third stage of labour.Methods: The present study was carried out on full term pregnancies primigravida/ multiparas with singleton pregnancy being delivered vaginally at GSL Hospital, Rajahmundry between 2016-2017 were included. For this comparative study, 200 women in labor were included after obtaining informed consent. A detailed obstetric history, history of previous medical illnesses, history of the treatment received earlier, cardiovascular and respiratory system and other systems including thyroid and breast were noted.Results: The average total blood loss in IIIrd stage of labour with IM oxytocin was 210 ml and with IM oxytocin + Tranexamic acid was130 ml, which was statistically significant (p<0.001). Oxytocin + Tranexamic acid group had less blood loss when compared to oxytocin group alone. Side effects like, nausea vomiting, headache were slightly more with oxytocin + Tranexamic acid group when compared to oxytocin group alone.Conclusions: In the active management of IIIrd stage of labour 10 IU intramuscular Oxytocin + one gram of tranexamic acid IV is a better combination in reducing the blood loss at delivery when compared to 10 IU intramuscular oxytocin alone.

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Placental Blood Drainage as a Part of Active Management of Third Stage of Labour After Spontaneous Vaginal Delivery

Abstract: Aim The third stage of labour commences after the delivery of the foetus and ends with the delivery of the placenta and its membranes. Postpartum haemorrhage is the most common cause of maternal mortality and accounts for about 25 % of maternal deaths in India.

Cited by 16 publications

References 8 publications

Effect of Placental Cord Drainage on the Third Stage of Labour Progress and Incidence of Postpartum Hemorrhage: Randomized Controlled Clinical Trial

Effect of Placental Cord Drainage on the Third Stage of Labour Progress and Incidence of Postpartum Hemorrhage: Randomized Controlled Clinical Trial

Placental cord drainage during third stage of labour: a randomized control trial at a tertiary care centre

Efficacy of tranexamic acid in preventing postpartum haemorrhage in vaginal delivery

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