Randomised prospective study of placental blood drainage for the prevention of postpartum hemorrhage
Dr. Rashmi and Dr. Nandini M Hadalagi
Aims and objectives:
1).To evaluate the effectiveness of placental blood drainage via the umbilical cord in reducing the duration of blood loss in the third stage of labour. 2.) To assess the effect of placental blood drainage for the prevention of postpartum haemorrhage.
Materials and methods: This was a prospective study on 200 women having vaginal delivery admitted to the labor ward at RIMS RAICHUR.
Results: The average duration of the third stage of labour was 5.32+/-0.83 minutes in the study group and 9.30+/-0.001 minutes in the control group. The difference was highly significant (p<0.0001). The average amount of blood loss in the third stage was 210.6+/-14.39 ml in the study group and 259.2+/-11.22 ml in the control group. The difference was significant (p<0.0001). Discussion: Placental cord drainage involves the clamping and cutting of the umbilical cord after delivery of the baby and immediately unclamping the maternal side of the cord and allowing the blood to drain freely.
Conclusion: Placental cord blood drainage is a safe and effective method of reducing the duration of the third stage of labour and decrease the incidence of Postpartum haemorrhage.