الفهرس | Only 14 pages are availabe for public view |
Abstract Abstract The 3rd stage of labour refers to the interval from delivery of the fetus to the separation and expulsion of the placenta. Prolongation of the third stage of labor increases the complication rate, especially the incidence of postpartum haemorrhage (PPH). The third stage of labour is generally managed using two different approaches: active and physiological or expectant management. In the management of third stage of labour nowadays, it is a common practice to clamp both sides of the cord and cutting it then wait until there are signs of placental separation then deliver the placenta by controlled cord traction (brandet Andrews maneuver). Unclamping the cord at maternal side and releasing of placental blood has been suggested for facilitating delivery of the placenta it is physiologically plausible that draining blood from the placenta would reduce its bulkiness allowing the uterus to contract and retract effectively leading to delivery of placenta and may reduce the duration of 3rd stage of labour. Cord drainage in 3rd stage of labour involves unclamping the previously clamped and separated umbilical cord and allowing the blood from the placenta to drain freely into appropriate receptacles. The aim of this study is to compare the effectiveness of placental cord drainage with no drainage among women undergo uncomplicated vaginal delivery in reducing the duration and amount of blood loss in 3rd stage of labour and Incidence of retained placenta,Manual removal of placenta, blood transfusion and Changes in maternal Hemoglobin and haematocrit after birth. This study is Randomized Controlled Study, That was conducted in Ain Shams University Maternity Hospital labour ward. |