The third stage of labour

Wood, Juliet; Rogers, Jane

doi:10.1007/978-1-349-14529-4_8

Cited by 6 publications

(3 citation statements)

References 15 publications

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“…Active management consists of measures to reduce the duration of the third stage of labor and the blood loss that occurs during this stage [ 17 ]. Uterotonics and immediate umbilical cord clamping are techniques that have been proposed [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Placental cord drainage in the third stage of labor: Randomized clinical trial

et al. 2018

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MethodsAn open randomized clinical trial was developed at Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) in Recife and at Petronila Campos Municipal Hospital in São Lourenço da Mata, both in Pernambuco, northeastern Brazil, including 226 low-risk pregnant women bearing a single, full-term, live fetus after delayed cord clamping, 113 randomized to placental cord drainage and 113 to a control group not submitted to this procedure. Women incapable of understanding the study objectives and those who went on to have an instrumental or cesarean delivery were excluded.ResultsDuration of the third stage of labor did not differ between the two groups (14.2±12.9 versus 13.7±12.1 minutes (mean ± SD), p = 0.66). Likewise, there was no significant difference in mean blood loss (248±254 versus 208±187ml, p = 0.39) or in postpartum hematocrit levels (32.3±4.06 versus 32.8±4.25mg/dl, p = 0.21). Furthermore, no differences were found between the groups for any of the secondary outcomes (postpartum hemorrhage >500 or >1000ml, therapeutic use of oxytocin, third stage >30 or 60 minutes, digital evacuation of the uterus or curettage, symptoms of postpartum anemia and maternal satisfaction).ConclusionPlacental cord drainage had no effect in reducing duration or blood loss during the third stage of labor.Clinical trials registrationClinicalTrials.gov: www.clinicaltrial.gov, NCT01655576.

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Section: Introductionmentioning

confidence: 99%

Placental cord drainage in the third stage of labor: Randomized clinical trial

et al. 2018

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“…Midwives routinely drain the placenta by clamping the umbilical cord and collecting blood in the placenta container. 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].…”

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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“…The active management during the third stage of labor is recommended as a preventive strategy. Active management consists of measures to reduce the duration of the third stage of labor and the blood loss that occurs during this stage (5). Uterotonics and immediate umbilical cord clamping are techniques that have been proposed.…”

Section: Introductionmentioning

confidence: 99%

Effect of placental cord blood drainage on duration of third stage of labour

Parveen¹,

Razaq²,

Razaq³

et al. 2024

Ann Gulf Med

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Introduction: Third stage of labour start after delivery of baby and continues till delivery of placental and membranes. Post-partum hemorrhage is most common complication of this stage. Objectives: To compare the mean duration of third stage of labour in patients undergoing spontaneous vaginal delivery with and without placental cord blood drainage. Materials and Methods: This randomized control trial was carried out in three tertiary care hospitals of Punjab, Department of Obstetrics &Gynecology, Allied Hospital, Faisalabad, Lady Aitcheson Hospital Lahore and Lady Willington Hospital Lahore. From 1st July 2018 to 30th December 2018, 188 cases (94 in each group) were selected using non probability consecutive sampling. Total 188 patients were enrolled in the study after taking informed consent and allocated into control and case group by lottery method. In control group cord was clamped from both sides while in case group cord was unclamped from other side and duration of third stage was noted for both groups. Ethical approval was taken from hospital ethical committee. Results: The mean age was 29.06 ± 4.9 years with minimum age of 21 years and maximum age of 45 years. More patients belong to younger age group (20 years to 35 years) i.e. 119 while 69 belonged to elder age group i.e. 36 year to 50 years 63.2 % and 36.7% respectively. Mean duration of third stage of labour in case group was 8.5±2.9 minutes and in control group 10.8±5.4 minutes. More distribution of patients in younger age group 20 -35 years and less in 36 to 50 years i.e. 67% and 33% respectively. Conclusion: This study concluded that unclamping placenta from mother side significantly reduces the third stage of labour

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The third stage of labour

Cited by 6 publications

References 15 publications

Placental cord drainage in the third stage of labor: Randomized clinical trial

Placental cord drainage in the third stage of labor: Randomized clinical trial

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

Effect of placental cord blood drainage on duration of third stage of labour

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