Background: Present study was undertaken to evaluate the effectiveness of placental cord blood drainage after vaginal delivery in reducing the duration and blood loss during third stage of labour in Primi/Multigravida (up to G3) between the age group of 18-35 years, with term, singleton alive pregnancy with vertex presentation, adequate liqour, with average size (estimated foetal weight 2-4Kg) fetus, without any complications, expected to spontaneous vaginal delivery.Methods: It is a randomized clinical controlled trial on 400 pregnant women admitted in labour ward at KGMCH, Asaripallam, Kanyakumari district between January 2015 to December 2015. All women enrolled were subjected to history taking general and obstetric examination. In the study group, placental end of the previously clamped and cut umbilical cord was unclamped immediately after vaginal delivery, while remaining clamped in the control group.Results: Duration of third stage of labour blood loss during third stage postpartum hemorrhage and need for blood transfusion haemoglobin difference between antenatal and postnatal period was significantly reduced in the study group than control group.Conclusions: Placental Cord blood drainage is simple, safe, non-invasive method which reduces the duration and blood loss of third stage of Labour.

No abstract

Background: To test the advantages of extraperitoneal cesarean section over transperitoneal cesarean section.Methods: It is a single blinded prospective study. Women who were planned for emergency LSCS in the department of OG, Kanyakumari Government Medical College, Asaripallam were randomly allocated into extraperitoneal cesarean section (ECS) (n=80) or transperitoneal cesarean section (TCS) (n=80) from November 2015 to January 2017 and evaluated.Results: Even though the time taken to deliver the baby was more in ECS group (Average 4:57 minutes) than TCS group (Average 2:05 minutes, there is no change in Apgar score at 1 minute. The postoperative pain measured by VAS was lesser (4.28) in ECS than TCS (7.06). Bowel function returned early in ECS (8.687 hours) than in TCS (16.487 hours) group. None of the cases in ECS group had peroperative vomiting or post-operative wound infection.Conclusions: So, we can conclude that ECS is a better method in experienced hands than the TCS in selected cases.