Skip to main content
Log in

Evaluation of placental drainage as a method of placental delivery in vaginal deliveries

  • Original Article
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Methods

We describe a prospective study, done over a 2-year period in which a total of 958 women having a vaginal delivery were randomised to the drainage method (478 women) or controlled cord traction method (480 women) for placental delivery.

Results

The mean age, parity, gestation and birth weight were similar in the two groups. The mean duration of third stage of labor was 3.24 min and 3.2 min in the placental drainage group in contrast to 8.57 min and 6.20 min in controlled cord traction method in primigravida and multigravida respectively.

Conclusion

Placental drainage significantly reduces the duration of third stage of labour in vaginal deliveries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Baskett T (1992) Management of the third stage of labour: a survey of practice among Canadian obstetricians. J Soc Obstet Gynecol 14:61–64

    Google Scholar 

  2. Choy CMY, Lau WC, Tam WH, Yuen PM (2002) A randomized controlled trial of intramuscular syntometrine and intravenous oxytocin in the management of the third stage of labour. Br J Obstet Gynaecol 109:173–177

    CAS  Google Scholar 

  3. Dewhurst CJ (1990) The prevention of postpartum haemorrhage: a review. J Obstet Gynaecol 10 [Suppl 2]:S1–S3

    Google Scholar 

  4. Giacalone PL, Vignal J, Daures JP, Boulot P, Hedon B, Laffargue F (2000) A randomized evaluation of two techniques of management of the third stage of labour in women at low risk of postpartum haemorrhage. Br J Obstet Gynecol 107:396–400

    CAS  Google Scholar 

  5. Gilbert L, Porter W, Brown VA (1987) Postpartum haemorrhage—a continuing problem. Br J Obstet Gynaecol 94:67–71

    Google Scholar 

  6. Khan GQ, John IS, Chan T, Wani S, Huges AO, Stirrat GM (1995) Abu Dhabi third stage trial: oxytocin versus syntometrine in the active management of the third stage of labour. Eur J Obstet Gynecol Reprod Biol 58:147–151

    Article  CAS  PubMed  Google Scholar 

  7. Khan GQ, John IS, Wani S, Doherty T, Sibai BM (1997) Controlled cord traction versus minimal intervention techniques in delivery of the placenta: a randomized controlled trial. Am J Obstet Gynecol 177:770–774

    CAS  PubMed  Google Scholar 

  8. Kwast B (1991) Postpartum hemorrhage: its contribution to maternal mortality. Midwifery 7:64–67

    CAS  PubMed  Google Scholar 

  9. Lucas WE (1980) Postpartum haemorrhage. Clin Obstet Gynaecol 23:637–646

    CAS  Google Scholar 

  10. McDonald SJ, Prendiville WJ, Blair E (1993) Randomized controlled trial of oxytocin alone versus oxytocin and ergometrine in active management of third stage of labour. BMJ 307:1167–1171

    CAS  PubMed  Google Scholar 

  11. Philips CA, Kinch RA (1994) Management of third stage of labour: a survey of practice among Texas obstetricians. Tex Med 90:44–47

    PubMed  Google Scholar 

  12. Prendiville WJ, Harding JE, Elbourne DR, Stirrat GM (1988) The Bristol third stage trial: active versus physiological management of the third stage of labour. BMJ 297:1295–1300

    CAS  PubMed  Google Scholar 

  13. Prendiville WJ, Elbourne D, McDonald S (2000) Active versus expectant management in the third stage of labour. Cochrane Database Syst Rev 3:CD000007

    PubMed  Google Scholar 

  14. Sharma JB, Sharman WA, Newman MRB, Smith RJ (1995) Evaluation of placental drainage at caesarean section as a method of placental delivery. J Obstet Gynaecol 15:237–239

    Google Scholar 

  15. Thilaganathan B, Cutner A, Latimer J, Beard R (1993) Management of the third stage of labour in women at low risk of postpartum haemorrhage. Eur J Obstet Gynaecol Reprod Biol 48:19–22

    CAS  Google Scholar 

  16. Thomas IL, Jeffers TM, Brazier JM, Burt CL, Barr KE (1990) Does cord drainage of placental blood facilitate delivery of the placenta? Aust NZJ Obstet Gynaecol 30:314–318

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. B. Sharma.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sharma, J.B., Pundir, P., Malhotra, M. et al. Evaluation of placental drainage as a method of placental delivery in vaginal deliveries. Arch Gynecol Obstet 271, 343–345 (2005). https://doi.org/10.1007/s00404-004-0619-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-004-0619-9

Keywords

Navigation