Placental Cord Drainage Versus no Placental Drainage in the Management of Third Stage of Labour: Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Ain Shams University
- Enrollment
- 180
- Locations
- 2
- Primary Endpoint
- Duration of the third stage of labour
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 38 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
placental cord drainage
In 90 women after vaginal delivery of the baby, the 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.
Intervention: placental cord drainage (Procedure)
Non placental cord drainage
In 90 women after vaginal delivery of the baby placental end of the cut umbilical cord will be kept clamped.
Intervention: non placemtal cord drainage (Procedure)
Outcomes
Primary Outcomes
Duration of the third stage of labour
Time Frame: within 15 min of delivery of baby
Secondary Outcomes
- 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)
Investigators
Ahmed Abdel Shafy El Shahawy
Principal invesigator
Ain Shams University