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

Study Overview
=================
Brief Summary
-----------------
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.

Detailed 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.

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

Conditions
-----------------
Placental Blood Drainage

Intervention / Treatment
-----------------
* Procedure: Placental Blood Drainage
* Procedure: not Placental Blood Drainage


Participation Criteria
=================
Eligibility Criteria
-----------------
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

Ages Eligible for Study
-----------------
Minimum Age: 15 Years
Maximum Age: 50 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Placental Blood Drainage<br>Immediately after vaginal delivery, after clamping and cutting the cord-the cord will unclamped and the blood will drained until the flow ceased. | Procedure: Placental Blood Drainage<br>* Immediately after vaginal delivery, after clamping and cutting the cord-the cord will unclamped and the blood will drained until the flow ceased.<br>|
| Active Comparator: not Placental Blood Drainage<br>In the control group, the clamped cord will not released. | Procedure: not Placental Blood Drainage<br>* In the control group, the clamped cord will not released.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood lost |  | through delivery completion, an average of 30 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The duration of the third stage | The duration of the third stage will calculated using a stop watch. | through the duration of the third stage, an average 45 minutes |