Duration of the Third Stage of Labor and Risk of Postpartum Hemorrhage

2016 ◽  
Vol 127 (5) ◽  
pp. 951-956 ◽  
Author(s):  
Antonina I. Frolova ◽  
Molly J. Stout ◽  
Methodius G. Tuuli ◽  
Julia D. López ◽  
George A. Macones ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage

scholarly journals The Effect of Mother-Infant Skin to Skin Contact after Birth on Third Stage of Labor: A Systematic Review and Meta-Analysis

2019 ◽  
Author(s):  
Fatemeh Zahra KARIMI ◽  
Hamid HEIDARIAN MIRI ◽  
Maryam SALEHIAN ◽  
Talat KHADIVZADEH ◽  
Mohaddese BAKHSHI
Keyword(s):  
Systematic Review ◽  
Postpartum Hemorrhage ◽  
Meta Analysis ◽  
Control Group ◽  
Chi Square ◽  
The Third ◽  
Skin Contact ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Skin To Skin

Background: One of the causes of postpartum hemorrhage is prolongation of third stage of labor. Mother-infant skin to skin contact (SSC) immediately after delivery is one of the non-pharmacological interventions to reduce this stage. Studies which assessed the effect of mother-infant SSC after delivery on duration of the third stage of labor reported controversial results on this issue. Therefore, this study investigated the effect of mother-infant SSC immediately after birth on the duration of third stage of labor Methods: In this systematic review and meta-analysis, the databases of PubMed, Scopus, Cochrane, SID, Magiran IranDoc and Google Scholar were searched from 2000 to 2018, using the keywords related to the objectives of this review to access randomized control trials published in Persian or English. The quality of papers was examined using Cochran's Risk of bias tool. Data was analyzed using Stata software. We used I2 index and Chi-square test to investigate heterogeneity and Egger’s and Begg’s tests to assess publications bias. Random effects model was used to combine the data. Results: Six studies were entered into the meta-analysis. The third stage of labor in SSC group was shorter than that of control group with a mean difference of -1.33 and 95% CI (-2.31 to -0.36) and this difference was statistically significant (P=0.007). Conclusion: Mother-infant SSC decreases the duration of third stage of labor. Therefore, the current study provides some evidences to use this non-pharmacological method in order to accelerate the third stage of labor and ultimately prevent postpartum hemorrhage.  

scholarly journals Assessment of Midwife Knowledge, Practice, and Associated Factors towards Active Management of the Third Stage of Labor at Governmental Health Institutions in Tigray Region, Northern Ethiopia, 2018

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Getu Engida Wake ◽  
Girma Wogie
Keyword(s):  
Postpartum Hemorrhage ◽  
Active Management ◽  
Knowledge Level ◽  
Practice Level ◽  
Tigray Region ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Knowledge Practice ◽  
Health Institutions

Introduction. Globally, postpartum hemorrhage is the most common cause of maternal mortality and morbidity, and it accounts for more than 25% of all maternal deaths. The majority of death due to postpartum hemorrhage is caused by uterine atony. Routine and correct usage of active management of the third stage of labor decreases the occurrence of postpartum hemorrhage by 60% when compared to expectant management of the third stage of labor. The purpose of this study was to assess midwife knowledge, practice, and associated factors towards active management of the third stage of labor at governmental health institutions in the Tigray region, 2018. Results. These study results showed that from the total study participants ( N = 278 ), 170 (61.2%) were good in knowledge and 121 (43.5%) were good in practice towards active management of the third stage of labor. Training related to active management of the third stage of labor ( AOR = 2.119 , 95 % CI = 1.141 , 3.3937) and practice level of midwives ( AOR = 8.089 , 95 % CI = 4.103 , 15.950) became significantly associated with the knowledge level. The educational level of midwives ( AOR = 3.811 , 95 % CI = 2.015 , 7.210), training related to active management of the third stage of labor ( AOR = 2.591 , 95 % CI = 1.424 , 4.714), and knowledge level of midwives towards active management of the third stage of labor ( AOR = 7.324 , 95 % CI = 3.739 , 14.393) were significantly associated with the practice level. This study showed that training related to active management of the third stage of labor was significantly associated with the knowledge and practice level of midwives. The educational level and knowledge level of midwives were significantly associated with the practice level of midwives towards active management of the third stage of labor. Therefore, midwives should update their academic level and knowledge. Health institutions in collaboration with the Tigray Regional Health Bureau should arrange training for all midwives to bring change.

Can prepartum thromboelastometry-derived parameters and fibrinogen levels really predict postpartum hemorrhage?

2017 ◽  
Vol 45 (4) ◽  
Author(s):  
Lutz Kaufner ◽  
Anne Henkelmann ◽  
Christian von Heymann ◽  
Aarne Feldheiser ◽  
Laura Mickley ◽  
...  
Keyword(s):  
Pilot Study ◽  
Blood Loss ◽  
Postpartum Hemorrhage ◽  
Multivariate Regression ◽  
Operating Characteristic ◽  
Regression Analyses ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Maximum Clot Firmness

AbstractBackground:Decreased postpartum rotational thromboelastometric parameters of coagulation (ROTEMMethods:This prospective observational pilot study included 217 healthy pregnant women. Maximum clot firmness (FIBTEM-MCF), fibrinogen levels and standard coagulation parameters were measured upon admission to the delivery room for labor and within 1 h after vaginal delivery. Blood loss was measured with a calibrated collecting drape during the third stage of labor. PPH was defined as blood loss ≥500 mL. Predictors for bleeding were identified via receiver operating characteristic analyses and bivariate and multivariate regression analyses.Results:Women with and without PPH did not differ in median FIBTEM-MCF [23 mm (25Conclusions:ROTEM

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