Globally, postpartum hemorrhage (PPH) remains the largest direct cause of maternal morbidity and mortality, it complicates about 4% of vaginal and 6% of caesarean deliveries. Postpartum hemorrhage is defined as estimated blood loss of >500 ml within 24 hours of a vaginal birth or 1000 ml after caesarean section, or any blood loss sufficient to compromise hemodynamic stability. To evaluate the effectiveness of placental blood drainage via umbilical cord In reducing duration, blood loss and complication in third stage of labor and in reducing the incidence of PPH, maternal morbidity and mortality. It is prospective, cross sectional comparative study to evaluate effectiveness of placental cord drainage in reducing duration of third stage of labour, the amount of blood loss in third stage thereby reducing the incidence of postpartum hemorrhage. To conduct this study is maximum 400 cases, 200 cases will be in each Group A (STUDY) Group B (Control). The main source of data for this study are patients from teaching hospitals attached to J.J.M. Medical College Davangere during the study period February 2021 to July 2022. Mean duration of III stage of labour was 5.06 minutes in control group and 3.5 minutes in study group and the difference is highly significant statistically. Mean blood loss during III stage of labour was 308 ml in control and185 ml in study group and the difference is highly significant. Incidence of Postpartum Hemorrhage was 8.5% in control group and 2% in study group and none of the cases required surgical management of PPH . Placental blood drainage does not need any extra cost, equipment (or) effort and it is a simple, non‐invasive safe method that can be practiced even by midwives in rural settings as a part of management of third stage of labour in reducing the blood loss during third stage.
Sumitra Sangavi, Bhavani , Vidyashree and Prathima . Role of Placental Cord Drainage in Reducing Duration of Third Stage of Labour and Prevention of Postpartum Hemorrhage in Vaginal Deliveries.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.437.443
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.437.443