Vinothini, P (2009) Placental Blood Drainage after Spontaneous Vaginal Delivery as a part of the active management of Third Stage of Labour. Masters thesis, Madurai Medical College, Madurai.
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Abstract
200 patients admitted in the labour room at Government Rajaji Hospital between September 2007 to September 2008 in labour, had spontaneous vaginal delivery, who met the criteria laid under inclusion categories, were taken for this prospective comparative study. They were allocated into two groups of 100 each, group A patients had the placental blood drained and group B served as control. In each group, the duration of III Stage, amount of blood loss, complications of III stage were recorded. The results of the study were tabulated, analyzed and summarized as follows: 1. Majority of the patients 85-90% in both the study and the control groups were between 20-29 years. 2. Two-thirds of the study and the control groups were constituted by primigravidae, rest were multigravidae. 3. The mean period of gestational age, in weeks was similar in both the groups 38 - 39 weeks. 4. 70% of the study group and 79% of the control group received interventions during labour. 5. The mean birth weight among both the groups were comparable - 2.84 kg in the cases; 2.88 kg in the controls. 6. The duration of third stage of labour was 3.5 minutes in the study group and 5.3 minutes in the control group. The ‘p’ value being < 0.0001 the result was statistically significant. 7. The mean drop in Hb% level was 0.3 gm/dl in the study group and 0.6 gm/dl in the control group, this difference was also significant. 8. The mean blood loss in study group was 232.5 ml and 310.1 ml in the control group (p <0.0001). 9. The maximum blood loss among the study and the controls were 600 ml and 610 ml respectively. 10.The incidence of postpartum haemorrhage was 2% in study group and 10% in the control group. 11.Analyzing the parity in incidence of PPH, 60% were primigravidae, 40% were multigravidae in the controls, whereas all were multigravidae among the cases. 12.None of the patients required surgical management for PPH. 13.The incidence of manual removal of placenta in both the groups was similar. 14.The need for blood transfusion was 5% in the study group and 6% in the control group. CONCLUSION: 1. Placental blood drainage is effective in reducing the duration of III stage of labour. 2. It reduces the mean blood loss during the III stage of labour. 3. The decrease in Hb% is less in the placental drainage group than the control group. 4. The incidence of PPH is decreased with using placental blood drainage. 5. The need for medical and surgical management of PPH is decreased with placental blood drainage on critical evaluation. 6. The need for manual removal of placenta does not differ significantly. 7. Placental blood drainage is a simple, safe and non-invasive method of managing the third stage of labour, that can be practiced even by midwives and para medical workers to reduce the complications of the III stage of labour in rural settings too.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Placental Blood Drainage ; spontaneous vaginal delivery ; active management ; third stage of labour. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 04 Dec 2017 03:50 |
| Last Modified: | 17 May 2018 15:25 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/4240 |
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