ISSN: 2454-2342 (online), 2454-2334 (print)
Note: Licensing policy of the journal is changed from Volume 5 Issue 2 onwards. All contents will be under the terms of CC BY-NC-SA 4.0 henceforth.

The New Indian Journal of OBGYN. 11(1):186-188

Placental blood drainage in third stage of labour in term spontaneous vaginal delivery and it’s effect on maternal health

Apurba Kumar Bhattacharya, Binoy Kumar Borah, Rashi Bishnoi

ABSTRACT

Objectives: To evaluate the effectiveness of placental blood drainage as a part of active management in third stage of labour. Materials and methods: The study was conducted in the Department of Obstetrics and Gynaecology, Jorhat Medical College and Hospital for a period of one year. Eighty pregnant patients with 37 or more weeks of gestation, with single live fetus in cephalic presentation, who underwent a spontaneous vaginal delivery, were included in the study. The patients were prospectively randomized equally into two groups (40 each in the study and control groups). Placental blood was drained in all the patients in the study group, whereas in the control group the cord blood was not drained. Blood lost in the third stage of labour was measured by collecting in a disposable conical measuring bag. Results: The baseline statistics in both the group were comparable. The duration of third stage of labour was 201.75 ± 66.98 seconds in the study group and 305.25 ± 88.89 seconds in the control group. The ‘p’ value was statistically significant (p < 0.0001). The mean blood loss in study group was 146.4 ml and was 303 ml in the control group (p < 0.0001). The incidence of postpartum haemorrhage was 12.5 % in control group. The mean drop in Hb % level was 0.25 gm/dl in study group and 0.68 gm/dl in control group. These above differences were both statistically significant. Conclusion: The duration, blood loss, and incidence of PPH were all significantly decreased when placental blood drainage was used as part of active management of the third stage of labour. In addition to the standard uterotonics, placental blood drainage is a simple, safe, and non-invasive approach of managing the third stage of labour. It can be used in both tertiary care facilities and rural settings.

doi: 10.21276/obgyn.20252024.11.1.33 Full Text PDF
new link for FULL TEXT PDF
About
Aim & Scope
Editorial Board
Copyright Info
Plagiarism Prevention
Review Process
Peer Reviewers
Indexed / Listed in:
Index Copernicus, ISSN India, ROAD, Google Scholar, Journal Index.net, InfoBase Index, ESJI, SIS (Scientific Indexing Services), DOAJ
Archives
Volume 1 Issue 1
Volume 1 Issue 2
Volume 2 Issue 1
Volume 2 Issue 2
Volume 3 Issue 1
Volume 3 Issue 2
Volume 4 Issue 1
Volume 4 Issue 2
Volume 5 Issue 1
Volume 5 Issue 2
Volume 6 Issue 1
Volume 6 Issue 2
Volume 7 Issue 1
Volume 7 Issue 2
Volume 8 Issue 1
Volume 8 Issue 2
Volume 9 Issue 1
Volume 9 Issue 2
Volume 10 Issue 1
Volume 10 Issue 2
Volume 11 Issue 1
Volume 11 Issue 2
For Authors
Author Instructions
Submit your article to: barpetaogs@gmail.com
Article Status