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.
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Low-risk pregnant women
Vertex presentation
37-41st weeks of gestation
History of postpartum hemorrhage
History of postpartum hemorrhage in mother or sister
Birth interval less than 2 years
Anticoagulant use during pregnancy
Parallel
Placental cord drainage
Procedure/SurgeryPlacental 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).
Determining the duration of the third stage of labor
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
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
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).
Hemoglobin and hematocrit levels at 24 hours postpartum, changes compared to prepartum
Hb and Hct results of women in the intervention and control groups at the 24th hour after birth will be recorded from the patient file.
The possibility of developing complications in the third stages of labor
Participants will be evaluated for complications such as hypotension, syncope, retained placenta, manual delivery of the placenta, and the need for additional medication.
The possibility of developing complications in the fourth stage of labor
Participants will be evaluated for complications such as atony, abnormal uterine bleeding, and the need for additional medication.
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