Comparison of active and expectant management on the duration of the third stage of labour and the amount of blood loss during the third and fourth stages of labour: a randomised controlled trial

Midwifery
Maryam KashanianNarges Sheikh Ansari

Abstract

Postpartum haemorrhage is one of the most important causes of maternal death. To evaluate the effect of active management of the third stage of labour on the amount of blood loss in the third and fourth stages of labour, and the duration of the third stage of labour. A randomised controlled trial was completed on 200 women who gave birth at a maternity unit in Iran. In the intervention group (n=100), 10IU of oxytocin was injected intramuscularly into the mother following birth of the anterior shoulder of the baby. After clamping and cutting the umbilical cord, the uterus was pushed upwards and posterior, while the cord was pulled down with constant and intermittent traction until the placenta was delivered. In the control group (n=100), on observing signs of placental separation, the placenta was expulsed by maternal force. In both groups of women, blood loss was measured at birth using collecting devices, and drapes and sheets were weighed to estimate blood loss. Mean blood loss during the third stage of labour was 216.93+/-165.16 ml and 232.12+/-150.35 ml in the intervention and control groups, respectively; the difference was not significant (p=0.49). In contrast, mean blood loss during the fourth stage of labour differed si...Continue Reading

References

Jan 11, 2002·Journal of Midwifery & Women's Health·M C Brucker
Mar 17, 2004·Current Opinion in Obstetrics & Gynecology·Yap-Seng ChongSabaratnam Arulkumaran
Feb 3, 2005·Obstetrics and Gynecology·Everett F MagannJohn C Morrison

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Citations

Apr 26, 2018·The Cochrane Database of Systematic Reviews·Ioannis D GallosArri Coomarasamy
Dec 21, 2018·The Cochrane Database of Systematic Reviews·Ioannis D GallosArri Coomarasamy
Feb 13, 2019·The Cochrane Database of Systematic Reviews·Cecily M BegleyLinda M Biesty
Mar 3, 2015·The Cochrane Database of Systematic Reviews·Cecily M BegleyAndrew Weeks
May 25, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Maryam KashanianNarges Sheikhansari

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