Management of the third stage of labor The effect of early and late umbilical cord clamping and injection of Oxytocin

Background and Objective: The third stage of labor is probably the most dangerous stage, due to bleeding threatens mother. The objective of this study was to determine the effect of early and late cord umbilical clamping and injection of oxytocin after delivery on duration of third stage and hemorrh...

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Main Authors: M Aghajani Delavar, RA Mohammad Pour
Format: Article
Language:English
Published: Babol University of Medical Sciences 2003-04-01
Series:Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
Subjects:
Online Access:http://jbums.org/article-1-2769-en.html
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author M Aghajani Delavar
RA Mohammad Pour
author_facet M Aghajani Delavar
RA Mohammad Pour
author_sort M Aghajani Delavar
collection DOAJ
description Background and Objective: The third stage of labor is probably the most dangerous stage, due to bleeding threatens mother. The objective of this study was to determine the effect of early and late cord umbilical clamping and injection of oxytocin after delivery on duration of third stage and hemorrhage and prevalence of retained placenta. Methods: This study was done on 260 singleton deliveries. Gestations less than 34 weeks, newborns with low birth weight (Less than 2000gr) and fetal distress and also the Rh-negative mothers were all excluded from the study. Third stage of labor was managed by three methods. Findings: Duration of the third stage in method 1, 2 and 3 were 8.5±1.8, 3.6±1.9 and 4.2±1.9 minutes, respectively, which there was only a significant difference between method 1 and 2 (P<0.05). In method 1, retained placenta was seen in 4 cases (3.5%). In normal 1, 2 and 3, the average of hemorrhage in the third stage and standard deviation was 90.3±126, 72±63 and 54.9±70 ml, respectively which there was a significant difference between method 1 and 3 but there was no significant difference between 1 with 2 and 2 with 3. Conclusion: According to the results, early umbilical cord clamping is not recommended in order to reduce the duration of the third stage and also the amount of hemorrhage.
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spelling doaj.art-faf1f69cd9ae465b91dbdf367e0afa432022-12-21T21:25:18ZengBabol University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul1561-41072251-71702003-04-01522427Management of the third stage of labor The effect of early and late umbilical cord clamping and injection of OxytocinM Aghajani Delavar0RA Mohammad Pour1 Background and Objective: The third stage of labor is probably the most dangerous stage, due to bleeding threatens mother. The objective of this study was to determine the effect of early and late cord umbilical clamping and injection of oxytocin after delivery on duration of third stage and hemorrhage and prevalence of retained placenta. Methods: This study was done on 260 singleton deliveries. Gestations less than 34 weeks, newborns with low birth weight (Less than 2000gr) and fetal distress and also the Rh-negative mothers were all excluded from the study. Third stage of labor was managed by three methods. Findings: Duration of the third stage in method 1, 2 and 3 were 8.5±1.8, 3.6±1.9 and 4.2±1.9 minutes, respectively, which there was only a significant difference between method 1 and 2 (P<0.05). In method 1, retained placenta was seen in 4 cases (3.5%). In normal 1, 2 and 3, the average of hemorrhage in the third stage and standard deviation was 90.3±126, 72±63 and 54.9±70 ml, respectively which there was a significant difference between method 1 and 3 but there was no significant difference between 1 with 2 and 2 with 3. Conclusion: According to the results, early umbilical cord clamping is not recommended in order to reduce the duration of the third stage and also the amount of hemorrhage.http://jbums.org/article-1-2769-en.htmlthird stage of laborearly umbilical clampinglate umbilical clampingoxytocin
spellingShingle M Aghajani Delavar
RA Mohammad Pour
Management of the third stage of labor The effect of early and late umbilical cord clamping and injection of Oxytocin
Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
third stage of labor
early umbilical clamping
late umbilical clamping
oxytocin
title Management of the third stage of labor The effect of early and late umbilical cord clamping and injection of Oxytocin
title_full Management of the third stage of labor The effect of early and late umbilical cord clamping and injection of Oxytocin
title_fullStr Management of the third stage of labor The effect of early and late umbilical cord clamping and injection of Oxytocin
title_full_unstemmed Management of the third stage of labor The effect of early and late umbilical cord clamping and injection of Oxytocin
title_short Management of the third stage of labor The effect of early and late umbilical cord clamping and injection of Oxytocin
title_sort management of the third stage of labor the effect of early and late umbilical cord clamping and injection of oxytocin
topic third stage of labor
early umbilical clamping
late umbilical clamping
oxytocin
url http://jbums.org/article-1-2769-en.html
work_keys_str_mv AT maghajanidelavar managementofthethirdstageoflabortheeffectofearlyandlateumbilicalcordclampingandinjectionofoxytocin
AT ramohammadpour managementofthethirdstageoflabortheeffectofearlyandlateumbilicalcordclampingandinjectionofoxytocin