Placental Cord Drainage Versus no Placental Drainage in the Management of Third Stage of Labour

Study Overview
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Brief Summary
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The aim of this work is to compare the effectiveness of placental cord drainage with no drainage in reducing the duration and blood loss in 3rd stage of labour.

Official Title
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Placental Cord Drainage Versus no Placental Drainage in the Management of Third Stage of Labour: Randomized Controlled Trial

Conditions
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Obstetric Delivery

Intervention / Treatment
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* Procedure: placental cord drainage
* Procedure: non placemtal cord drainage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Full term Uncomplicated singleton pregnancy Pregnancy with vertex presentation Patients expected to have spontaneous vaginal delivery Exclusion Criteria: Over distended uterus(hydramnios.large fetus) Previous history of postpartum haemorrhage Known coagulation disorder Haemoglobin less than 8 g/dl Ante partum haemorrhage Multiple pregnancies Instrumental delivery

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 38 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: placental cord drainage<br>In 90 women after vaginal delivery of the baby, the placental end of the cut umbilical cord 1st will be clamped for few seconds and then unclamped and left open to drain blood in a vessel until flow stoped. This will prevent the drained blood from getting mixed with blood lost in the 3rd stage. | Procedure: placental cord drainage<br>* In the study group a of total number of 90 women placental end of the cut umbilical cord 1st will be clamped for few seconds and then unclamped and left open to drain blood in a vessel until flow stoped. This will prevent the drained blood from getting mixed with blood lost in the 3rd stage. Blood loss in the third stage will be measured using a Kelly's pad which will be used during delivery and the blood lost will be collected in a clean metal bowl which will be kept at the tail end of Kelley's pad.<br>|
| Active Comparator: Non placental cord drainage<br>In 90 women after vaginal delivery of the baby placental end of the cut umbilical cord will be kept clamped. | Procedure: non placemtal cord drainage<br>* In 90 women after vaginal delivery of the baby placental end of the cut umbilical cord will be kept clamped.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration of the third stage of labour |  | within 15 min of delivery of baby | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Amount of blood loss |  | FIRST 24 HOURS | 
| retained placenta |  | 1ST HOUR OF DELIVERY | 
| Manual removal of placenta |  | 1HOUR OF DELIVERY | 
| Changes in maternal haematocrit (Hct) after birth |  | 1ST 24 HOURS | 
| blood transfusion |  | 1ST 24 HOURS |