Placental cord drainage after vaginal delivery as part of the management of the third stage of labour

Soltani, Hora; Poulose, T; Hutchon, David

doi:10.1002/14651858.cd004665.pub3

Cited by 34 publications

(43 citation statements)

References 21 publications

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“…In a similar study conducted by Soltan H et al it was revealed that 1257 women, cord blood drainage reduced the duration of third stage by a mean of 3 minutes, and the same was shown in French cochrane review. 8 In a study by Giaclaone et al, the mean value in control was 15 min and 8 min in study group. 9 Mean blood loss was 308 ml in control group and 185ml in study group.…”

Section: Control Studymentioning

confidence: 90%

“…8 In another study by Melal Mohammed at Babylon, augmentation with oxytocin was comparable in both groups. Mean duration of first stage was 8.13 hrs in control group and 8.17 hrs in study group, which was comparable and the P value was not significant.…”

Section: Control Studymentioning

confidence: 92%

“…In a similar study conducted by Soltani H et al and French Cochrane review 2012 cord blood drainage reduced the blood loss during third stage by average of 77 ml. 8 In another study by Melal, it was 184 ml in study group and 249 ml in control group. 5 In present study, the incidence of post-partum Haemorrhage in the control was 8.5% and in the study group it was 2%.…”

Section: Control Studymentioning

confidence: 94%

“…In a similar study by Soltani, mode of delivery was comparable. 8 Birth weight between 2-4 kg were taken for the study. Mean birth weight was 2.84 kg in control group and 2.87 kg in study group and hence it was comparable.…”

Section: Control Studymentioning

confidence: 99%

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Placental cord blood drainage after vaginal delivery as part of the management of third stage of labour: a systematic review of randomized controlled clinical trial

Meena

Bebincy

Devika

2017

Int J Reprod Contracept Obstet Gynecol

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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.

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Section: Control Studymentioning

confidence: 90%

Section: Control Studymentioning

confidence: 92%

Section: Control Studymentioning

confidence: 94%

Section: Control Studymentioning

confidence: 99%

See 2 more Smart Citations

Placental cord blood drainage after vaginal delivery as part of the management of third stage of labour: a systematic review of randomized controlled clinical trial

Meena

Bebincy

Devika

2017

Int J Reprod Contracept Obstet Gynecol

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“…The timing of uterotonic administration was studied by Soltani et al, in a meta-analysis and was not found to be significant with respect to severe postpartum hemorrhage, amount of blood loss, retained placenta, requirement for uterotonics, or transfusions [11]. McDonald et al, analyzed the timing of umbilical cord clamping in a Cochrane review of 11 trials and 2898 patients [12].…”

Section: Discussionmentioning

confidence: 99%

Comparison of active vs. expectant management of the third stage of labor in women with low risk of postpartum hemorrhage: a randomized controlled trial

Yildirim

Ozyurek²,

Ekiz³

et al. 2016

Ginekol Pol

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Objectives: To compare the 'strictly' active management protocol in women with low risk of postpartum hemorrhage using the expectant management protocol with respect to changes in hematologic parameters, uterotonics, blood transfusions, or additional interventions. Material and methods:A randomized controlled prospective trial in which 934 singleton parturients enrolled; 654 were randomly assigned to the active and mixed management groups. The primary outcome parameter was the reduction in hemoglobin concentrations due to delivery, and the secondary outcome parameters were changes in hemoglobin of more than 3 g/dL (∆Hb ≥ 3 g/dL), durations of the third stage of labor, need for additional uterotonic agents, blood transfusions, manual removal of the placenta, and surgical evacuation of retained products of conception. Results:The mean postpartum hemoglobin concentration was significantly higher (P = 0.04) in the active management group with a significantly lower reduction (P = 0.03). Falls of hemoglobin levels of more than 3 g/dL (∆Hb ≥ 3g/dL) were less common in the active management group though not significantly (P = 0.32). The mean duration of the third stage of labor was significantly (P < 0.001) shorter in the active management group. There was no significant difference between the two groups with regard to the need for additional uterotonic agents, uterine atony, blood transfusion, manual removal of the placenta, surgical evacuation of retained products of conception, and prolonged third stage of labor. Conclusions:Although active management of the third stage of labor was associated with higher postpartum hemoglobin levels, it did not influence the risk of 'severe postpartum hemorrhage' in women with low risk of postpartum hemorrhage.

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Umbilical vein injection for the routine management of third stage of labour

Mori¹,

Nardin

Yamamoto

et al. 2012

Cochrane Database of Systematic Reviews

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Placental cord drainage after vaginal delivery as part of the management of the third stage of labour

Cited by 34 publications

References 21 publications

Placental cord blood drainage after vaginal delivery as part of the management of third stage of labour: a systematic review of randomized controlled clinical trial

Placental cord blood drainage after vaginal delivery as part of the management of third stage of labour: a systematic review of randomized controlled clinical trial

Comparison of active vs. expectant management of the third stage of labor in women with low risk of postpartum hemorrhage: a randomized controlled trial

Umbilical vein injection for the routine management of third stage of labour

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