Abstract
Background: the present study aimed to evaluate the effect of placental cord drainage on duration and blood loss of third stage of labor. Design: Randomized controlled trial was utilized. Setting: The study was performed at delivery unit of Obstetrics and Gynecology Departments, Mansoura University Hospital, Egypt. Subjects: One hundred forty parturient women undergoing normal vaginal delivery attained the inclusion criteria were comprised. The entrants were divided equally by simple randomization into intervention group (n=70 women) who underwent placental cord drainage and control group consisted of (n=70 women) who received the conventional hospital protocol. Tools: Structured interview schedule and labor assessment sheet were used for collecting the data. Results: The mean of third stage assessment parameters showed statistically significant difference, where it was significantly shorter in favor of the intervention group than control group. Time elapsed until appearance of placenta separation signs was (3.657 ± 0.678 vs. 6.514 ± 0.829 min.), duration of 3rd stage was (4.528 ± 0.557 vs. 7.185 ± 0.665 min.) and the amount of blood loss was (192.50 ± 9.545 vs. 289.285 ± 11.711 ml.) respectively. However, there was no statistically significant difference observed between both groups regarding placenta weight. Furthermore, the incidence of relaxed uterus, Postpartum hemorrhage and the need for uterotonic drugs were lower in intervention group in comparison to those in control group by 17.1%, 10% and 10% respectively. 7.1% of control group had retained placenta. Conclusion: The current study findings highlighted that placental cord drainage was an effective method in reducing the duration and blood loss of third stage of labor in normal vaginal deliveries. Recommendations: Placental cord drainage should be encouraged in normal vaginal deliveries and conducting similar studies on a wide range of sample in multicenter settings for generalizing the findings.
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