South Asian Research Journal of Nursing and Healthcare (SARJNHC)
Volume-2 | Issue-01
Original Research Article
Effect of Placental Cord Drainage on the Third Stage of Labour Progress and Incidence of Postpartum Hemorrhage: Randomized Controlled Clinical Trial
Wafaa Taha Ibrahim Elgzar, Hanan Ibrahim Ibrahim, Hanan Heiba Elkhateeb
Published : Jan. 19, 2020
Abstract
Background: Postpartum hemorrhage (PPH) is accountable for around 25% of maternal mortality in the developing countries. Management of 3rd stage of labour is the cornerstone in PPH prevention. The effect of Placenta Cord Drainage (PCD) on the 3rdprogress and PPH prevention is still controversy. Aim of the study: This study aims to investigate the effect of placental drainage on the third stage of labour progress and incidence of postpartum hemorrhage. Research design: randomized controlled clinical trial. Setting: This study is conducted at normal labour unit at Damanhour educational institution affiliated to ministry of health at Elbehira governorate/Egypt. Sampling: A purposive sample of 120 women undergoing normal easy vaginal delivery. Tools: two tools were used for data collection. Tool I: sociodemographic characteristics and obstetric history interview schedule. Tool II: Labour assessment sheet it consists of three main parts. Part I: Summary of the first and second stage of labor. Part II: third stage assessment sheet. Part III: 3. Early postpartum assessment sheet. Results: The present study results shows no statistical significant differences between PCD and control group regarding vital signs during the 3rd stage, uterus condition after placenta delivery, type, dose and route of uterotonic drugs given during 3rd stage. On the contrary, a statistical significant reduction in the time elapsed until appearance of placenta separation signs (3.5583±0.83915), 3rd stage duration(5.1417±1.03138), amount of blood loss during 3rd stage (195.45±13.994), placenta weight (580.333±64.97631) and incidence of retained placenta ((0%) in the PCD group than control. In the early postpartum assessment, the mean pulse (88.2.7667±3.11022) is higher among control group compared to PCD (83.4667±2.78292) group. Control group needs higher dose of uterotonic (8.6780±2.62902) drugs than PCD (5.0566±1.41985) group. In addition, maternal hemoglobin (9.5234±0.6087) is slightly higher in PCD group compared to control (8.458±0.873). Conclusion: PCD is safe, effective noninvasive intervention that may help in improving 3rd stage progress. Recommendation: PCD should be added to third stage of labour intervention protocol.