A study to evaluate the effectiveness of simple technique of placental drainage in control of third stage blood loss
Journal Title: MRIMS Journal of Health Sciences - Year 2016, Vol 4, Issue 1
Abstract
Background: Postpartum hemorrhage is the most common and dreaded complication of third stage of labor. Third stage of labour is always a time of anxiety as the normal case can within a minute become abnormal and successful delivery can swiftly turn into a maternal mortality. India has a maternal mortality rate of 4/1000 live births, whereas it is 0.1 – 0.4 / 1000 live birth in developed countries. Objective: To evaluate the effectiveness of simple technique of placental drainage in control of third stage blood loss Methods: A hospital based randomized controlled trial was conducted among 500 women during third stage of labour. They were divided into study and control groups. The study group was one in whom, cord clamping was not done the natural drainage of placenta was allowed, whereas, in the control group, cord clamping was performed. The outcome was assessed by measuring the mean duration of third stage of labour and the complications. Results: Women characteristics were similar for both the study group and the control group both for primigravida and multigravida. The obstetric characteristics like epidural anesthesia, and duration of first and second stage of labour was similar in both the study and control group. But the duration of third stage labour was prolonged in control group where cord was clamped compared to study group for primigravida and multigravida both. The numbers of cases with complications are more in the control group than study group. Conclusion: The mean duration of third stage labour was significantly lesser in placental drainage group compared to cord clamp group. Also the complications were less in the placental drainage group. Thus it can be concluded that the placental drainage is more effective than the cord clamp method.
Authors and Affiliations
Neelima Choppala, Ramana Bai PV
Keywords
Related Articles
- EP ID EP419005
- DOI -
- Views 115
- Downloads 0
A study to assess prevalence of depression among Diabetic population in rural field practice area of a Medical College in Hyderabad
Abstract: Background: Depression and diabetes having bidirectional association and depression being 2 to 3 more common among diabetic population can have profound risk of poor outcome and serious implications. Objectiv...
A Comparative Study of Intrathecal Clonidine and Intrathecal tramadol for Prolongation of Neuraxial blockade analgesia with 0.5% Bupivacaine in lower limb surgeries
Background: Clonidine, a selective partial α2 -adrenergic agonist, is being extensively evaluated as an adjuvant to intrathecal local anaesthetics and has proven to be a potent analgesic free of opioid-related side effec...
Evaluation of thrombocytopenia as a near miss criterion
Background: Thrombocytopenia is defined as a platelet count below 150 x 109 / liter in adults, caused by accelerated platelet destruction or decreased production. It is classified as mild [platelet counts 100 – 150 x 109...
Knowledge and practice of universal precautions among nursing students at a teaching hospital
Background: Health care Personnel are at higher risk to acquire blood born infections especially nurses who are in continuous contact with the patient during their routine work in health care settings. Needle stick injur...
A study of effect of iron on hematological status in iron deficiency anemic children
Background: Iron Deficiency is the most widely prevalent nutritional disorder affecting the world population today. Anaemia has been described as a major health problem in the developing countries. Iron Deficiency Anaemi...