Role of placental blood drainage as a part of active management of third stage of labour after spontaneous vaginal delivery

Afzal, Maryam Binte; Bushra, Natasha; Waheed, Khadija; Sarwar, Aleena; Awan, Nukhbat Ullah

doi:10.5455/jpma.302642458

Cited by 8 publications

(11 citation statements)

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“…Active management consists of measures to reduce the duration of the triple stage and the blood loss that occurs during this period [10]. Active management of the third stage of labor using the umbilical cord drainage method significantly reduces postpartum blood loss and the duration of the third stage [11]. This action is to drain the placenta and reduce its volume, thereby facilitating removing the placenta from the uterine wall.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Placental Drainage in the Active Management of the Third Stage against the Duration of Three Childbirths in the Independent Practice of Midwives in Banda Aceh City

Gustiana

Novemi

Yusnaini

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: The third stage of active management has become a standard practice in delivery management. Implementation of childbirth care requires accelerated release of the placenta to avoid bleeding. Placental drainage can shorten the duration of the three stages and reduce blood loss during labor. AIM: The aim of the study is to analyzing the effectiveness of placental drainage in the third stage active management of the third stage of delivery at the midwife’s independent practice (PMB) in the city of Banda Aceh. METHODS: This study used a Quasi Experiment design with a post-test control design. This research was carried out for 12 weeks at the PMB in Banda Aceh City, namely mothers who gave birth at the Erni Munir PMB and the Independent Practice Midwife Mutia Yacob. The sampling technique was purposive sampling. The sample in this study amounted to thirty mothers giving birth, divided into two groups, namely, the treatment group with placental drainage as many as 15 mothers and respondents with cord clamping as many as 15 mothers. With the inclusion criteria, the mother is willing to be a respondent, the vital signs of normal mothers, single and live fetuses, term pregnancy, and an interpretation of average fetal weight ≥ 2500 g. Data analysis used the MannWhitney test, with a confidence level of 95%. RESULTS: The results showed a difference in effectiveness between the placental drainage group and the umbilical cord clamping group, as evidenced by a statistical test with p = 0.001. The length of three stages required by mothers to give birth with placental drainage has a mean value of 4.47 min with a standard deviation of 0.516. The average length of time required by the mother to give birth with umbilical cord clamping is 5.40 min with a standard deviation value of 0.828. CONCLUSION: Placental drainage was more effective than umbilical cord clamping to shorten the third stage length in the Independent Practice of Midwives in Banda Aceh City.

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of Placental Drainage in the Active Management of the Third Stage against the Duration of Three Childbirths in the Independent Practice of Midwives in Banda Aceh City

Gustiana

Novemi

Yusnaini

et al. 2021

Open Access Maced J Med Sci

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“…Afzal et al who concluded that the mean blood loss in placental cord drainage group was statistically lower compared to the other group (p<0.001). 8 Second, Meena et al, two Cochrane databases of systemic reviews, which are Hofmeyr et al and Begley et al studied the effect of placental cord drainage during the third stage of labour. All of them shown that placental cord drainage resulted in statistically significant reduction of blood loss during the third stage of labour.…”

Section: Discussionmentioning

confidence: 99%

A study of placental blood drainage in third stage of labour to prevent postpartum haemorrhage: a randomized controlled study

Bhongle¹,

Agarwal²

2021

Int J Reprod Contracept Obstet Gynecol

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Background: PPH is most common cause of maternal mortality accounting for 25-30% incidence and third stage of labour plays most crucial role in preventing postpartum haemorrhage.Methods: A prospective randomized control study in which 100 low risk pregnant women, admitted to labour ward with term gestation were evaluated. They were divided into 2 groups- control group (controlled cord traction) and study group (placental cord blood drainage), 50 pregnant women in each group. Duration of third stage and Amount of blood loss in third stage were evaluated and compared between the 2 groups.Results: Mean duration of third stage of labour in study group was 3.96±1.36 minutes and in control group was 6.00±2.12 minutes. The mean amount of blood loss in third stage of labour in study group was 99.80±56.47 ml in control group was 171.760±96.94 ml. Drop in haemoglobin level after delivery in control group was almost double than study group.Conclusions: Placental cord blood drainage in the management of third stage is non-invasive, easy, safe method which can be used in active management of third stage of labour as it has minimal interference in natural mechanism of placental separation. Placental cord blood drainage should be encouraged for management of third stage of labour universally to all pregnant women specifically in low resource setting areas.

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“…This finding is consistent with the results of at least five recent studies. First, Afzal et al, [22] who investigated the impact of PCD on the third stage progress after normal vaginal delivery. They concluded that PCD significantly reduced 3 rd stage duration after spontaneous vaginal delivery.…”

Section: Discussionmentioning

confidence: 99%

Effect of Placental Cord Drainage on the Third Stage of Labour Progress and Incidence of Postpartum Hemorrhage: Randomized Controlled Clinical Trial

Elgzar¹,

Ibrahim²,

Elkhateeb³

2020

SARJNHC

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Background: Postpartum hemorrhage (PPH) is accountable for around 25% of maternal mortality in the developing countries. Management of 3 rd stage of labour is the cornerstone in PPH prevention. The effect of Placenta Cord Drainage (PCD) on the 3 rd progress and PPH prevention is still controversy. Aim of the study: This study aims to investigate the effect of placental drainage on the third stage of labour progress and incidence of postpartum hemorrhage. Research design: randomized controlled clinical trial. Setting: This study is conducted at normal labour unit at Damanhour educational institution affiliated to ministry of health at Elbehira governorate/Egypt. Sampling: A purposive sample of 120 women undergoing normal easy vaginal delivery. Tools: two tools were used for data collection. Tool I: sociodemographic characteristics and obstetric history interview schedule. Tool II: Labour assessment sheet it consists of three main parts. Part I: Summary of the first and second stage of labor. Part II: third stage assessment sheet. Part III: 3. Early postpartum assessment sheet. Results: The present study results shows no statistical significant differences between PCD and control group regarding vital signs during the 3rd stage, uterus condition after placenta delivery, type, dose and route of uterotonic drugs given during 3rd stage. On the contrary, a statistical significant reduction in the time elapsed until appearance of placenta separation signs (3.5583±0.83915), 3rd stage duration(5.1417±1.03138), amount of blood loss during 3rd stage (195.45±13.994), placenta weight (580.333±64.97631) and incidence of retained placenta ((0%) in the PCD group than control. In the early postpartum assessment, the mean pulse (88.2.7667±3.11022) is higher among control group compared to PCD (83.4667±2.78292) group. Control group needs higher dose of uterotonic (8.6780±2.62902) drugs than PCD (5.0566±1.41985) group. In addition, maternal hemoglobin (9.5234±0.6087) is slightly higher in PCD group compared to control (8.458±0.873). Conclusion: PCD is safe, effective noninvasive intervention that may help in improving 3 rd stage progress. Recommendation: PCD should be added to third stage of labour intervention protocol.

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Role of placental blood drainage as a part of active management of third stage of labour after spontaneous vaginal delivery

Cited by 8 publications

References 0 publications

The Effectiveness of Placental Drainage in the Active Management of the Third Stage against the Duration of Three Childbirths in the Independent Practice of Midwives in Banda Aceh City

The Effectiveness of Placental Drainage in the Active Management of the Third Stage against the Duration of Three Childbirths in the Independent Practice of Midwives in Banda Aceh City

A study of placental blood drainage in third stage of labour to prevent postpartum haemorrhage: a randomized controlled study

Effect of Placental Cord Drainage on the Third Stage of Labour Progress and Incidence of Postpartum Hemorrhage: Randomized Controlled Clinical Trial

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