Placental Cord Drainage Versus no Placental Drainage in the Management of Third Stage of Labour: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 180
- 试验地点
- 1
- 主要终点
- Duration of the third stage of labour
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 38 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Full term Uncomplicated singleton pregnancy Pregnancy with vertex presentation Patients expected to have spontaneous vaginal delivery
排除标准
- •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
研究组 & 干预措施
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.
干预措施: 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.
干预措施: non placemtal cord drainage (Procedure)
结局指标
主要结局
Duration of the third stage of labour
时间窗: within 15 min of delivery of baby
次要结局
- 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)
研究者
Ahmed Abdel Shafy El Shahawy
Principal invesigator
Ain Shams University