Comparison of Blood Loss in Using vs Not Using Placental Cord Drainage After Spontaneous Vaginal Delivery

Zeynep Kamil Maternity and Pediatric Research and Training Hospital

Status: Unknown

Conditions: Placental Blood Drainage

Treatments: Procedure: Placental Blood Drainage; Procedure: not Placental Blood Drainage

Study type: Interventional

Funder types: Other

Identifiers

NCT03020355

167

Details and patient eligibility

About

Comparison of effectiveness of placental blood drainage after spontaneous vaginal delivery in decreasing the duration, blood loss,and complications of the third stage, against no drainage of placental blood.

Full description

The patients will prospectively randomized equally into two groups (100 each in the study and control groups).

Group-A (Study group)-Placental blood was drained.

Group-B (Control group)-Placental blood was not drained.

In all the patients detailed medical and obstetric history will taken. In each patient, the pre-delivery pulse rate, blood pressure, and Hb gm% will noted. Immediately after vaginal delivery, after clamping and cutting the cord-the cord will unclamped and the blood will drained until the flow ceased. In the control group, the clamped cord will not released. Blood lost in the third stage of labour will measured by collecting the blood measuring bag.

Enrollment: 200 estimated patients

Sex: Female

Ages: 15 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Singleton pregnancy
• Vertex presentation
• Gestational age of 37 weeks (or) more
• No major medical (or) obstetric complications
• Spontaneous vaginal delivery

Exclusion criteria

• Hb\7 gm/dl
• History of APH
• Instrumental delivery
• Multiple pregnancy
• Malpresentations
• Large baby (more than 3.5 kg)
• Polyhydramnios
• Known coagulations disorders
• Previous surgeries on the uterus

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

Placental Blood Drainage

Experimental group

Description:

Immediately after vaginal delivery, after clamping and cutting the cord-the cord will unclamped and the blood will drained until the flow ceased.

Treatment:

Procedure: Placental Blood Drainage

not Placental Blood Drainage

Active Comparator group

Description:

In the control group, the clamped cord will not released.

Treatment:

Procedure: not Placental Blood Drainage