Change of haemoglobin level after cesarean section with the difference of placental delivery methods Hemoglobin level Control cord traction Manual removal of placenta Placental delivery
Conditions
Interventions
Patient undergo elective cesarean section performed by second and third year residents , under supervision of staff(RTCOG broad approved). Surgeon will know the methods of placental delivery which ar
Experimental Procedure/Surgery
Control umbilical cord traction
Sponsors
Department of Obstetrics and Gynecology, Maharat Nakhon Ratchasima Hosipital, THAILAND
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: 1.Term pregnancy 2.Singleton
Exclusion criteria
Exclusion criteria: 1.Multiple gestation 2.Polyhydramnios 3.Anemia (Hb<10gm/dl) 4.Rupture of amniotic sac 5.Receive anticoagulant drug 6.Previous post-partum haemorrhage, History of bad obstetrical outcome 7.High risk co-morbidity (eg., cardiovascular disease, pulmonary disease, hepatobiliary disease, Chronic kidney disease, Hematologic disorder) 8.Body temperature more than 38 degree Celsius 9.Family history of coagulopathy 10.Abnormal placentation 11.Placental abruption 12.Pelvic mass (eg., myopia uteri, ovarian tumor) 13.Uterine rupture 14.Preeclampsia with severe feature, eclampsia 15.Unstable maternal vital sign 16.Abnormal fetal heart tracing 17.Intra-operative complication (severe adhesion, uterine atony, internal organ injury)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Haemoglobin level 48 hours after placental delivery Blood of Complete blood count(CBC) | — |
Secondary
| Measure | Time frame |
|---|---|
| Endometritis 96 hours Obseved,Surgical site infection 96 hours Observed,Blood transfusion 96 hours Observed,Intraoperative complication 96 hours observed | — |
Countries
Thailand
Contacts
Public ContactOraphan Aswakul
Maharat Nakhon Ratchasima Hospital
Outcome results
None listed