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IRCT2014041917341N1 IRCT 2017-10-15 Research Vice-Presidency Of Isfahan(Khorasgan) Islamic Azad University The effect of placental drainage on the duration of third stage of labour Comparison of placenta drainage and routin Method of removal of placenta on the outcome of third Stage of Delivery. 2013-03-21 anticipated 400 Complete https://irct.ir/trial/15966 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Outcome of third stage of labour. Intervention 1: Routine intervention active management of third stage of labour (the control group): Immediately after the birth of the baby, the umbilical cord is clamped with two forceps (at a distance of 4-5 cm in the fetus) and cut between them and the baby is placed in the baby's cot. 20 units of oxytocin immediately after delivery of the baby is injected at 1000 cc of the ringer's syringe and infused with a velocity of 20-10 ml / min (200-200 ml / min),then clamped and cut umbilical cord of baby and from that time on, we calculate the time with the stopwatch, Check signs of placental separation, For up to 30 minutes, we allow placenta to be separated spontaneously and after the signs of separation of the placenta, With one hand, hold the uterus from the abdomen and with another hand pull it down with a cord (Brandt- Andrew maneuver), and at the same time encourages the mother push to delivery of placenta. After the delivery of the placenta, take it with two hands and turn it until the membrance are screwed and we pull out all membrance with a gentle stretch. At this time, stop the stopwatch . thus, the length of the third stage of labor is determined. Then massage the uterus and make sure of its contraction. Then check the placenta and membrance to make sure that it is complete. In the absence of delivery of placenta up to 30 minutes or a large bleeding, the Manual removal of placenta is done. Intervention 2: Placental cord drainage active management of third stage of labour( In the study group): All actions in this group are as before. Only after the birth of a baby When the cord clamped and cut it and put the baby in the baby's cot, unclamped the cord and left open to drain blood in a vessel until flow ceased. Cord is slightly wrinkled ( placenta drainage). And the rest of the actions are the same as the control group. Up to one hour after the delivery of the placenta in both groups, the uterus contraction and the rate of receiving uterotonic drugs are checked.
public Karimi Nazi
University Blvd, Argavaniyeh, Jay street.
Isfahan Iran (Islamic Republic of) +98 31 3535 4001 karimi_nazli@khuisf.ac.ir Isfahan (Khorasgan) Islamic Azad University scientific Karimi Nazi
University Blvd, Argavaniyeh, Jay street.
Isfahan Iran (Islamic Republic of) +98 31 3568 8824 karimi_nazli@khuisf.ac.ir Isfahan (Khorasgan) Islamic Azad University Iran (Islamic Republic of) Inclusion criteria: Natural vaginal delivery; pregnancy with vertex presentation ; Term pregnancy (37-42 weeks); Singelton pregnancy; Absence placental disorders and neonatal congenital anomaly in perinatal ultrasound examination; The absence of medical and obstetric conditions in the mother. Exclusion criteria: previous history of curtage; Instrumental delivery(Vacum ,Forceps); Maternal coagulation disorder. 16 years 43 years Female O72,O73,O7 Postpartum haemorrhage,Retained placenta and membranes, without haemorrhage,Other complications of labour and delivery, not elsewhere classified Prevention Prevention Routine intervention active management of third stage of labour (the control group): Immediately after the birth of the baby, the umbilical cord is clamped with two forceps (at a distance of 4-5 cm in the fetus) and cut between them and the baby is placed in the baby's cot. 20 units of oxytocin immediately after delivery of the baby is injected at 1000 cc of the ringer's syringe and infused with a velocity of 20-10 ml / min (200-200 ml / min),then clamped and cut umbilical cord of baby and from that time on, we calculate the time with the stopwatch, Check signs of placental separation, For up to 30 minutes, we allow placenta to be separated spontaneously and after the signs of separation of the placenta, With one hand, hold the uterus from the abdomen and with another hand pull it down with a cord (Brandt- Andrew maneuver), and at the same time encourages the mother push to delivery of placenta. After the delivery of the placenta, take it with two hands and turn it until the membrance are screwed and we pull out all membrance with a gentle stretch. At this time, stop the stopwatch . thus, the length of the third stage of labor is determined. Then massage the uterus and make sure of its contraction. Then check the placenta and membrance to make sure that it is complete. In the absence of delivery of placenta up to 30 minutes or a large bleeding, the Manual removal of placenta is done. Placental cord drainage active management of third stage of labour( In the study group): All actions in this group are as before. Only after the birth of a baby When the cord clamped and cut it and put the baby in the baby's cot, unclamped the cord and left open to drain blood in a vessel until flow ceased. Cord is slightly wrinkled ( placenta drainage). And the rest of the actions are the same as the control group. Up to one hour after the delivery of the placenta in both groups, the uterus contraction and the rate of receiving uterotonic drugs are checked. Duration of 3rd stage of delivery. Timepoint: At the same time study. Method of measurement: Using a stopwatch in seconds. Retained placenta. Timepoint: At the same time study. Method of measurement: The presence or absence of retention. Manual removal of placenta. Timepoint: At the same time study. Method of measurement: The number of cases of Manual removal of placenta. Postpartum hemorrhage. Timepoint: At the same time study. Method of measurement: Just a visual check. Research Vice-Presidency Of Isfahan(Khorasgan) Islamic Azad University Approved 2017-08-22 Najafabad Islamic Azad University University Sq, Najafabad, Isfahan, Iran Najafabad Iran (Islamic Republic of) Approved 2017-08-22 Isfahan (Khorasgan) Islamic Azad University University Blvd, Argavaniyeh, Jay street. Isfahan Iran (Islamic Republic of)