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105129

Placental Cord Drainage Versus Clamping for Prevention of Blood Loss in the Third Stage of Labour

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Third stage of labour may contribute greatly in postpartum haemorrhage and maternal mortality if not well conducted. Unclamping of the maternal side of the umbilical cord after cutting may allow the placental cord blood to release freely and minimize blood loss. Aim of Study: This study aimed to investigate the effect of placental cord drainage on outcome of the third stage of labour. Patients and Methods: A randomized controlled clinical trial was conducted at the Emergency Unit of Obstetrics and Gynecology department, Mansoura University Hospital, Egypt. This study comprised a random sample of 116 parturient women who were expected to have spontaneous vaginal delivery and at low risk for postpartum hemorrhage. Women were divided into two equal groups (n=58 per each); the control group received the conventional management of the third stage of labour, similarly the study group in addition to the placental cord blood drainage. Data were collected assess-ing the participants' baseline characteristics and the third stage outcome sheet was used to evaluate outcomes of the third stage of labour. Results: Showed that the 3rd stage blood loss was signif-icantly lower by 146.7 ml in the study group compared to the control group (143.1±56 vs. 289.8±114.5; 95% CI, 113.6- 179.9, p<0.001). The third stage length was shorter in the study group than the control group by 2.6 minutes (4.5±1.7 vs. 7.1±2.9; t=5.788, p<0.001). Conclusion: Placental cord drainage during the third stage of labour was an effective method in reducing the blood loss and duration of third stage of labour. Being a safe, costless, and effective method placental cord drainage should be encouraged.

DOI

10.21608/mjcu.2020.105129

Keywords

Placental cord drainage, maternal outcomes, third stage of labour

Authors

First Name

HANAN NABIL, M.D.;

Last Name

TYSEER MARZOUK, M.D.

MiddleName

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Affiliation

The Department of Obstetrics & Gynecology, Faculty of Medicine* and Woman's Health and Midwifery Department, Faculty of Nursing**, Mansoura University, Egypt

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Volume

88

Article Issue

March

Related Issue

14145

Issue Date

2020-03-01

Receive Date

2019-07-27

Publish Date

2020-03-01

Page Start

947

Page End

952

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_105129.html

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https://mjcu.journals.ekb.eg/service?article_code=105129

Order

121

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Placental Cord Drainage Versus Clamping for Prevention of Blood Loss in the Third Stage of Labour

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Article

Created At

22 Jan 2023