Drainage of Placental Cord Blood– a Part of Active Management of Third Stage of Labor and for the prevention of PPH
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Objective:- To evaluate the effectiveness of placental cord blood drainage in reducing the duration of blood loss in third stage of labor, and the incidence of postpartum hemorrhage. Method:- This prospective study was conducted in the Department of Obstetrics and Gynecology, Pacific Medical College and Hospital , Udaipur from October 2016 to April 2017 . Placental blood was drained in all the patients in the study group, whereas in the control group the cord blood was not drained. Blood lost in the third stage of labour was measured and blood from the episiotomy was mopped, and the mops were discarded separately. Results:- The mean duration of third stage was 5.06 minutes in the study group and 8.20 minutes in the control group. This difference was statistically significant (P<0.001). The average third stage blood loss was 185.4 ml in the study group and 269.6 ml in the control group. This difference also was statistically significant (P< 0.001). The incidence of postpartum haemorrhage was 2 % in study group and 9 % in control group. The mean drop in Hb % level was 0.7 gm/dl in study group and 1.3 gm/dl in control group. These above differences were both statistically significant. None of the women required blood transfusion. Conclusion:- Drainage of placental cord blood is a simple safe and non-invasive method of great use in day to day obstetric practice not requiring any extra effort, cost or equipment which reduces the duration of blood loss in third stage which can be practiced in both tertiary care centres as well as rural setup in addition to the routine uterotonics and hence thereby preventing postpartum hemorrhage.
Authors and Affiliations
Dr. Kanika Chandra, Dr. Sanchita Dashora
Keywords
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- EP ID EP401585
- DOI 10.9790/0853-1710030104.
- Views 79
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