International Journal of Contraception, Gynaecology and Obstetrics

International Journal of Contraception, Gynaecology and Obstetrics


International Journal of Contraception, Gynaecology and Obstetrics
International Journal of Contraception, Gynaecology and Obstetrics
Vol. 1, Issue 1 (2019)

Intraumbilical oxytocin compared to placental cord drainage in the management of third stage of labor: A randomized controlled study


Tamer Farouk Borg, Bassem Aly Islam, Eslam M Abbas

Objective: To compare the effectiveness of intraumbilical oxytocin and placental cord drainage in the management of third stage of labor. Design: A prospective randomized clinical trial. Study started: 1 September 2017. Study completed: 30 January 2018. Setting: At Ain-Shams University Maternity Hospital. Subjects: One hundred and fifty pregnant women between 18-35 years of age with normal pregnancy and a singleton fetus at a gestational age of 37 - 42 weeks in a cephalic presentation with neonatal birth weight of 2500 to 4500 grams recruited from the delivery ward of our hospital. Methods: The 150 study participants were randomly allocated into three groups either 20 units of oxytocin injected in the umbilical vein after clamping (Group A, n = 50), placental cord drainage (Group B, n = 50) or no intervention (Group C, n = 50). Main outcome measure: Duration of the third stage of labor. Secondary outcome measure: Retained placenta, need for manual removal of placenta and the drop in Hemoglobin level postpartum. Results: there was a significant statistical difference between all groups regarding the duration of the third stage of labour (p >0.05). With the duration was significantly shorter in the study groups A&B than the control group C, with significantly shorter duration in group B compared to Group A (P1 is 0.001 > 0.05). There was statistical difference between all groups regarding Hemoglobin reduction (p>0.05).With hemoglobin level significantly reduced in the control group C than the study groups A&B (P2 is 0.016>0.05 and P3 is 0.0001>0.05) with significantly higher reduction in group A than Group B (P1 is 0.001>0.05). As regard Retained placenta and the need for manual removal of placenta there was non-significant increase in the control group C (2 cases) which wasn’t statistically significant (p<0.05) while there were no cases in study groups A&B. Conclusion: The present study demonstrated that the use of intraumbilical injection of oxytocin and placental cord drainage significantly reduced the duration of the third stage in addition a significant decrease in the hemoglobin and hematocrit drop postpartum, however there were non-significant reduction of Retained placenta and the need for manual removal of placenta, Larger studies are necessary to confirm these findings.
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How to cite this article:
Tamer Farouk Borg, Bassem Aly Islam, Eslam M Abbas. Intraumbilical oxytocin compared to placental cord drainage in the management of third stage of labor: A randomized controlled study. International Journal of Contraception, Gynaecology and Obstetrics, Volume 1, Issue 1, 2019, Pages 18-26
International Journal of Contraception, Gynaecology and Obstetrics International Journal of Contraception, Gynaecology and Obstetrics