How can methods of placental delivery in cesarean section affect perioperative blood loss? A randomized controlled trial of controlled cord traction versus manual removal of placenta
| Autor: | Hytham Atia, Mohamed Ellaithy, Ahmed Altraigey, Ahmed M. Abbas, Mohamed Kolkailah, Ibrahim Ali |
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| Rok vydání: | 2018 |
| Předmět: |
030219 obstetrics & reproductive medicine
Cord business.industry medicine.medical_treatment Obstetrics and Gynecology Traction (orthopedics) Perioperative blood loss law.invention 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Obstetrics and gynaecology Randomized controlled trial Interquartile range law 030220 oncology & carcinogenesis Anesthesia Placenta Elective Cesarean Delivery Medicine business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 45:133-140 |
| ISSN: | 1341-8076 |
| Popis: | AIM Of the different described methods of placental delivery during cesarean section (CS), manual removal and cord traction are the most commonly used techniques. The ideal method of placental delivery during CS is still a conflicting issue as the data derived from the previous studies are widely heterogeneous and inconsistent. This study has investigated the effect of two different methods of placental delivery, controlled cord traction and manual removal, on perioperative blood loss. METHODS This randomized controlled trial recruited 345 pregnant women scheduled for elective cesarean delivery at term. Eligible participants were randomly assigned to have their placentae delivered either by manual removal or cord traction. Perioperative blood loss was the study primary outcome measure. RESULTS A total of 300 women were included in the final analysis. The longer placental delivery time in the cord traction group (n = 150) (60 s. [45-61.25] versus 45 s. [35-60] in the manual placental delivery group, P |
| Databáze: | OpenAIRE |
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