Obstetric Delivery
Conditions
Brief summary
The aim of this work is to compare the effectiveness of placental cord drainage with no drainage in reducing the duration and blood loss in 3rd stage of labour.
Interventions
In the study group a of total number of 90 women placental end of the cut umbilical cord 1st will be clamped for few seconds and then unclamped and left open to drain blood in a vessel until flow stoped. This will prevent the drained blood from getting mixed with blood lost in the 3rd stage. Blood loss in the third stage will be measured using a Kelly's pad which will be used during delivery and the blood lost will be collected in a clean metal bowl which will be kept at the tail end of Kelley's pad.
In 90 women after vaginal delivery of the baby placental end of the cut umbilical cord will be kept clamped.
Sponsors
Study design
Eligibility
Inclusion criteria
* Full term Uncomplicated singleton pregnancy Pregnancy with vertex presentation Patients expected to have spontaneous vaginal delivery
Exclusion criteria
* Over distended uterus(hydramnios.large fetus) Previous history of postpartum haemorrhage Known coagulation disorder Haemoglobin less than 8 g/dl Ante partum haemorrhage Multiple pregnancies Instrumental delivery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of the third stage of labour | within 15 min of delivery of baby |
Secondary
| Measure | Time frame |
|---|---|
| Amount of blood loss | FIRST 24 HOURS |
| retained placenta | 1ST HOUR OF DELIVERY |
| Manual removal of placenta | 1HOUR OF DELIVERY |
| Changes in maternal haematocrit (Hct) after birth | 1ST 24 HOURS |
| blood transfusion | 1ST 24 HOURS |
Countries
Egypt