Intraumbilical Oxytocin Versus Placental Cord Drainage in the Management of 3rd Stage of Labor
Postpartum Haemorrhage With Retained Placenta
About this trial
This is an interventional prevention trial for Postpartum Haemorrhage With Retained Placenta
Eligibility Criteria
Inclusion Criteria:
- Pregnant women between 18-35 years of age with normal pregnancy.
- A singleton fetus at a gestational age of 37 - 42 weeks in a cephalic presentation.
- Neonatal birth weight of 2500 to 4500 grams.
Exclusion Criteria:
- Medical disorders and hypertensive disorders of pregnancy.
- Intrauterine fetal death.
- Known or suspected fetal anomalies.
- Oxytocin induction or augmented cases.
- Obstetrical complications (bleeding, premature rupture of membranes).
- Previous CS or Previous Myomectomy.
Sites / Locations
- Ain Shams Maternity HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
• Group (A) "Study Group 1":
• Group (B) "Study Group 2":
• Group (C) "Control Group":
In the labor room women in Group A (n = 50): Clamping and cutting the placental cord after delivery of the baby. Immediate intraumbilical vein injection of Oxytocin (Syntocinon®) 20 units diluted in 20 ml of 0.9% saline solution
In the labor room women in Group B (n = 50): Clamping and cutting the placental cord after delivery of the baby. Immediate unclamping of the maternal side, allowing the blood to drain freely for a duration of three minutes.
In the labor room women in Group C (n = 50): Clamping and cutting the placental cord after 2 minutes of delivery of the baby. Placenta will be delivered spontaneously after appearance of clinical signs of placental separation