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

2018 ◽  
Vol 45 (1) ◽  
pp. 133-140 ◽  
Author(s):  
Ahmed Altraigey ◽  
Mohamed Ellaithy ◽  
Hytham Atia ◽  
Ibrahim Ali ◽  
Mohamed Kolkailah ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Blood Loss ◽  
Cesarean Section ◽  
Controlled Trial ◽  
Manual Removal ◽  
Randomized Controlled ◽  
Perioperative Blood Loss ◽  
Controlled Cord Traction

Pre-operative tranexemic acid vs. etamsylate in reducing blood loss during elective cesarean section: randomized controlled trial

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Haitham Torky ◽  
El-Sayed El-Desouky ◽  
Ibrahim Abo-Elmagd ◽  
Attia Mohamed ◽  
Ahmad Abdalhamid ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Side Effects ◽  
Blood Loss ◽  
Cesarean Section ◽  
Tranexamic Acid ◽  
Controlled Trial ◽  
Elective Cesarean Section ◽  
Randomized Controlled ◽  
Elective Cesarean ◽  
Double Blinded

AbstractObjectivesTo investigate whether etamsylate may be an alternative to tranexamic acid in reduction of blood loss during elective cesarean section.MethodsProspective double-blinded multi-center randomized controlled trial involving 180 qualified women equally divided into three groups each containing 60 women received either tranexamic acid, etamsylate or placebo 20 min before elective cesarean section and blood loss was estimated.ResultsMean blood loss, cases needing blood transfusion and cases needing further interventions were significantly lower in tranexamic acid and etamsylate group than placebo group, while mean postoperative hemoglobin and hematocrite were significantly higher in both tranexamic acid and etamsylate as compared to placebo.ConclusionsEtamsylate is an effective second-line therapy (after tranexamic acid) in reducing blood loss during elective cesarean section with low risk of side effects, therefore, it can be an effective alternative to tranexamic acid in cases with contraindications or anticipated to be at high-risk of developing side effects from tranexamic acid.

scholarly journals Spontaneous delivery or manual delivery of the placenta during caesarean: A randomized controlled trial

2012 ◽  
Vol 7 (2) ◽  
pp. 23-28 ◽  
Author(s):  
SM Pokharel
Keyword(s):  
Randomized Controlled Trial ◽  
Caesarean Section ◽  
Blood Loss ◽  
Controlled Trial ◽  
Medical Sciences ◽  
Manual Removal ◽  
Randomized Controlled ◽  
The Mean ◽  
Spontaneous Delivery

The study was done to compare the blood loss and the time between spontaneous delivery and manual removal of the placenta during caesarean section. We prospectively randomized and compared outcomes of 100 gravid women with manual (n=50) and spontaneous (n=50) placental delivery at caesarean section. Blood loss was measured after placental deliverey at caesarean and was greater in the manually delivered group (100.9 ± 22.5 ml) than in the spontaneous delivery group. (55.11 ±21.07 ml) P< 0.001. The mean interval during the delivery of the newborn and the placenta is longer in spontaneous delivery group (62.02 vs. 50.5 seconds), but the mean duration of the operation was similar. Spontaneous delivery of the placenta as compared to manual expression significantly reduces the blood loss without increasing the operating time.Journal of College of Medical Sciences-Nepal, 2011, Vol-7, No-2, 23-28DOI: http://dx.doi.org/10.3126/jcmsn.v7i2.6676

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