TITLE:
Umbilical Vein Oxytocin Injection versus Umbilical Cord Drainage in Management of Third Stage of Normal Vaginal Delivery: A Randomized Controlled Trial
AUTHORS:
Mohamed El-Bakry Lashin
KEYWORDS:
Umbilical Cord Drainage, Umbilical Vein, Oxytocin Injection, Third Stage of Labour
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.5,
May
7,
2020
ABSTRACT: Objectives: Postpartum hemorrhage
is an important cause of maternal morbidity and mortality worldwide. Different
preventive strategies were tried to determine the best approach for the
management of the 3rd stage of labour. We aim to determine the effect of
umbilical vein oxytocin injection and umbilical cord drainage in the management
of third stage of labour in normal vaginal delivery. Patients and Methods: One hundred twenty three (123) females were enrolled into this randomized
controlled trial. They were aligned into three groups: 1st group (I) (cord
drainage group), 2nd group (II) (oxytocin group)
and 3rd group (III) (control cord traction group). The primary outcomes were duration of 3rd stage and blood loss. Results: Both group I and II had statistically
significant shorter third stage duration than patients of group III (p SD (7.3 ± 3.45, 4.6 ± 1.74, 9.4 ± 3.67)
respectively for groups I, II, III. Also, both group I and II had
statistically significant less blood loss than patients of group III (p . Conclusion: The current study demonstrated that umbilical
vein oxytocin injection and umbilical cord drainage
significantly reduce the duration and amount of blood loss in the 3rd stage of labour,
thus, reducing the risk of post partum hemorrhage.