Jini, J (2012) A Study to assess the effectiveness of draining the umbilical cord on the outcome of placental delivery during the third stage of labour among the parturient mothers in a Selected Hospital at Kanyakumari. Masters thesis, RVS College of Nursing, Coimbatore.
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Abstract
A study to assess the effectiveness of draining the umbilical cord on the outcome of placental delivery during the third stage of labour among the parturient mothers in a selected hospital, Kanyakumari. The aim of the study was to assess whether draining the umbilical cord after separating the baby in the third stage of labour enhance early separation of placenta and reduce the duration of third stage, blood loss, and pain compared to clamped umbilical cord. The conceptual frame work used in this study was based on modified Callista Roy’s adaptation Theory (1996). A quasi experimental two group posttest only design was used. The sample size consisted of 60 parturient mothers in a selected hospital (30 samples in experimental group and 30 in control group), selected by convenient sampling technique. During the third stage of labour the umbilical cord was drained in the experimental group and in the control group the umbilical cord was clamped. By using the control cord traction the placenta was delivered in both the group. The observational schedule was used to measure the duration of third stage, amount of blood loss, placental weight and maternal haemoglobin. The level of pain was assessed by Numerical pain scale. The data was analyzed using descriptive and inferential statistics. Major findings of the study were - In experimental group the duration of third stage was reduced compared to the control group. In experimental group 22 samples (73.30%) had a duration of 6 – 8 mins and remaining 8 samples (26.70%) had 3 – 5 mins. In control group 20 samples (66.70%) had 12 – 14 mins and other 10 samples (33.30%) had 9 – 11 mins of duration of third stage of labour. In experimental group the amount of blood loss during the third stage was reduced compared to the control group. In experimental group 22 samples (73.30%) had blood loss of 151 – 250 ml and remaining 8 samples (26.70%) had 50 – 150 ml. In control group 20 samples (66.70%) had 351 – 450 ml and other 10 samples (33.30%) had 251 – 350 ml of blood loss. The experimental group showed a low mean duration of 5.77 mins after draining the umbilical cord blood in third stage. But the control group showed a high mean duration of 11.62 mins after clamping the umbilical cord in third stage. The experimental group showed a low mean blood loss of 169.33 ml after draining the umbilical cord blood in the third stage. But the control group showed a high mean blood loss of 367.67 ml after clamping the umbilical cord in third stage. The statistical test shows that there is a significant difference in the mean amount of blood loss in experimental and control group. There was a significant association between the amount of blood loss and parity. (Chi2 =7.5487, df = 2 P<0.05). This study concluded that draining the umbilical cord during the third stage had a significant effect in reducing the duration of third stage, amount of blood loss, placental weight and level of pain during the third stage of labour.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Umbilical Cord ; Placental Delivery ; Third Stage of Labour ; Parturient Mothers ; Kanyakumari. |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Ramakrishnan J |
| Date Deposited: | 06 Nov 2017 09:52 |
| Last Modified: | 10 Dec 2017 03:18 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/3857 |
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