Placental Cord Drainage after Vaginal Delivery as a Part of Active Management of Third of Labour

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Published: Sep 5, 2018
Keywords:
Post partum hemorrhage

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Chalaew Sattamai
Department of Obstertric and Gynecology Surin hospital, Surin, Thailand

Abstract

Background: Post partum hemorrhage is an important global health problem especially in developing countries according to high incidence of complications which resulted in morbidity and maternal mortality. Post partum hemorrhage caused by various factors includes prolonged labor, multiple gestation, fetal macrosomia, maternal anemia, preeclampsia and elective delivery. Substandard labor practice is the major cause that preventable and correctable.
Objective: To compare the difference of Total blood loss, incidence of Post partum hemorrhage, third stage of labor period and hematocrit level among active management method with placental cord drainage, active management with cord cramping and expectant management. Population and Labor patients underwent delivery at labor room of Surin hospital during February 1st 2012 to April 30th 2012.
Sampling: One hundred fifty patients were enrolled and assigned into three groups of 50 Patients were randomly assigned by simple random method into intervention and control group.
Methods: Patients were investigated for hematocrit level and received conventional labor care until delivery. Patients control group were assigned third period expectant management, the first intervention group was assigned third period care by active management with cord cramping and the second intervention group was assigned third period care by active management with placental cord drainage. Outcome measurement Total blood loss, incidence of Post partum hemorrhage, third stage labor period and hematocrit level. Patients were monitored until two hours after delivery then blood sampling for hematocrit level was done.
Statistical Analysis: Descriptive statistic was presented as frequency, percentile, mean and standard deviation. ANOVA was used to compare means of third labor period, total blood Loss and hematocrit level among three groups and Chi-square was used for test of difference between groups.
Results: Means of third labor period duration and blood loss were significantly different among three groups (p <0.5) but hematocrit level and incidence of bleeding were not significantly different (p <0.5).
Conclusions: Third labor period care by active management with placental cord drainage is convenient, easy managed and safe method to decrease post partum maternal complications.
Keyword: Post partum hemorrhage

Article Details

How to Cite
Sattamai, C. (2018). Placental Cord Drainage after Vaginal Delivery as a Part of Active Management of Third of Labour. MEDICAL JOURNAL OF SISAKET SURIN BURIRAM HOSPITALS, 27(3), 287–296. retrieved from https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/143225
Issue
Vol. 27 No. 3 (2012): September - December 2012
Section
Original Articles

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