Placental Blood Drainage
Conditions
Brief summary
Comparison of effectiveness of placental blood drainage after spontaneous vaginal delivery in decreasing the duration, blood loss,and complications of the third stage, against no drainage of placental blood.
Detailed description
The patients will prospectively randomized equally into two groups (100 each in the study and control groups). Group-A (Study group)-Placental blood was drained. Group-B (Control group)-Placental blood was not drained. In all the patients detailed medical and obstetric history will taken. In each patient, the pre-delivery pulse rate, blood pressure, and Hb gm% will noted. Immediately after vaginal delivery, after clamping and cutting the cord-the cord will unclamped and the blood will drained until the flow ceased. In the control group, the clamped cord will not released. Blood lost in the third stage of labour will measured by collecting the blood measuring bag.
Interventions
Immediately after vaginal delivery, after clamping and cutting the cord-the cord will unclamped and the blood will drained until the flow ceased.
In the control group, the clamped cord will not released.
Sponsors
Study design
Eligibility
Inclusion criteria
* Singleton pregnancy * Vertex presentation * Gestational age of 37 weeks (or) more * No major medical (or) obstetric complications * Spontaneous vaginal delivery
Exclusion criteria
* Hb\\7 gm/dl * History of APH * Instrumental delivery * Multiple pregnancy * Malpresentations * Large baby (more than 3.5 kg) * Polyhydramnios * Known coagulations disorders * Previous surgeries on the uterus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood lost | through delivery completion, an average of 30 minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The duration of the third stage | through the duration of the third stage, an average 45 minutes | The duration of the third stage will calculated using a stop watch. |