Placental cord drainage: Placental cord drainage is the process of clamping and cutting the umbilical cord after the birth of the baby, then opening the clamp at the maternal end of the cord and allowing the blood in the placenta to flow outward (Soltani et al, 2011; Vasconcelos et al, 2018; Pandey et al, 2019; Upadya et al, 2019; Chaudhary et al, 2020; Kazı et al, 2020; Mittal et al, 2020; Nabıl and Marzouk, 2020; Mansour et al, 2021; El Sayed et al, 2021; Karimi et al, 2022; Wedn and Hassanin, 2022).
Study summary
The aim of the study was to evaluate the effect of controlled placental cord drainage by opening the clamp at the maternal end after the umbilical cord is cut during birth on the duration of the third stage of labor (departure of the placenta), the amount of blood loss in the third stage, the amount of bleeding in the 2nd hour postpartum, and the development of postpartum complications.
Eligibility
Sex
FEMALE
Min age
18 Years
Max age
35 Years
Healthy volunteers
Accepted
Inclusion Criteria:
* No problem speaking and understanding Turkish
* Low-risk pregnant women
* Vertex presentation
* 37-41st weeks of gestation
* There are no complications in the mother or the baby that prevent normal birth.
* The VAS score for the pain felt by the pregnant woman at the time of admission to the study must be less than 3 (to show that the pregnant women were accepted into the study at a time when their pain was at its lowest and their decision-making ability was at a relatively good level)
Exclusion Criteria:
* History of postpartum hemorrhage
* History of postpartum hemorrhage in mother or sister
* Birth interval less than 2 years
* Anticoagulant use during pregnancy
* Smoking during pregnancy
* Those with low Hb values (Hb\<11gr/dL)
* Hematocrit \<30
Primary outcome measure(s)
Determining the duration of the third stage of labor — The time between the birth of the newborn and the delivery of the placenta In the intervention and control groups, the time of placental delivery will be recorded using a digital clock. The time between the birth of the newborn and the delivery of the placenta will constitute the duration of the third stage of labor.
Determining the amount of blood lost in the 3rd stage — Until one of the signs of placental separation is seen, maximum 5 minutes In the control group, the blood collected in the V-drop (ml) will be measured and calculated. In the intervention group, the placental drainage blood collected in the kidney basin (grams) will be added to the blood collected in the V-drop (ml). The total amount of blood loss will be calculated in ml. The blood in the kidney basin will be calculated in ml as follows: (The weight of the kidney basin filled with blood after taring ÷ 1.05) (Asıcıoğlu et al, 2015).
Determination of the amount of hemorrhage at the 2nd hour postpartum — Postpartum 0-2 hours At the end of the second hour postpartum, the leak-proof underwear will be removed and weighed on a precision scale. The amount of blood lost at this stage will be calculated in ml as follows: (The weight of the leak-proof absorbent underwear used - the weight before use) ÷ 1.05. (Asıcıoglu et al, 2015).
Trial sites (1)
Facility
City
Region
Status
Zonguldak Maternity and Child Diseases Hospital
Zonguldak
Zonguldak/Centre
Recruiting
More Saglik Bilimleri Universitesi Gulhane Tip Fakultesi trials in Turkey
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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