A STUDY TO ASSESS THE EFFECTIVENASS OF IMMEDIATE BREAST FEEDING ON DURATION OF THIRD STAGE OF LABOUR AND BLOOD LOSS DURING THE SAME IN SELECTED HOSPITALS

An experimental study was conducted to assess the effectiveness of immediate breast feeding on duration of third stage of labour and blood loss during the same in selected hospitals of Pune city. The conceptual framework adopted for the study was General System Model. The sample size was 60 full term mothers in active labour, divided into two groups. Purposive sampling technique was used for selection of sample. Where, Group I is experimental group and Group II is an control group. Each consisted of 30 samples. Data collection was accomplished by using observation check list as a tool. It consists of three sections. First section dealt with demographic profile of the samples. Second section dealt with observation check list to assess duration of labour.Third section dealt with amount of blood loss.Pilot study was conducted to assess the feasibility of the study. It was conducted on 14 mothers.Final data collection was done. Data gathered was analysed by using descriptive and inferential statistics. Based on the analysis interpretations were made.The study analysis shows that immediate breast feeding statistically reduces the duration of third stage of labor and the amount of blood loss.

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A study to assess the effectiveness of initiation of breast feeding during third stage of labour among mothers on their physiological parameters at selected sub-divisional Hospital in West Bengal

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20205783 ◽

2020 ◽

Vol 10 (1) ◽

pp. 285

Author(s):

Jyotsna Bag ◽

Sima De

Keyword(s):

Blood Loss ◽

Breast Feeding ◽

Vital Signs ◽

Sampling Technique ◽

General System ◽

Structured Interview ◽

Control Group ◽

Validity And Reliability ◽

Significant Difference ◽

Third Stage

Background: There is paucity of Indian literature regarding effect of early breast feeding in subsequent course of labour. So, this study was undertaken to find out the effectiveness of early initiation of breast feeding during third stage of labour on the duration of labour, amount of blood loss during labour and nature of placental expulsion, along with the changes in vital signs during second and third stages of labour among mothers of both experimental and control groups.Methods: A quasi experimental post-test only control group study design was adopted. The conceptual framework for the study was based on general system model. Non-probability purposive sampling technique was used to select 20 intra-natal mothers and 10 mothers were randomly assigned to experimental group and another 10 mothers were randomly assigned to the control group. A structured interview schedule, observation checklist on progress of 1st, 2nd, and 3rd stages of labour, measurement of blood loss and measurement of vital signs were used to collect data after establishing validity and reliability of the tools.Results: The finding of the study revealed that there was significant difference in duration of 3rd stage of labour, t (18)=5.237 at 0.05 level and blood loss during 3rd and 4th stage of labour, a t (18)=3.95 at 0.05 level. There was true difference in pulse rate but not the respiration rate and blood pressure.Conclusions: Initiation of breast feeding during third stage of labour is effective in reducing maternal morbidity and mortality.

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A Comparative Study of Active Management of the Third Stage of Labor IV Methergine and IM Oxytocin

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i45a32743 ◽

2021 ◽

pp. 267-272

Author(s):

K. Sharmila

Keyword(s):

Blood Loss ◽

The United States ◽

Active Management ◽

P Value ◽

Negative Effects ◽

The Third ◽

Third Stage Of Labor ◽

Group I ◽

Third Stage ◽

The Mean

Postpartum haemorrhage (PPH) has been more common over the last three decades, accounting for 11% of all pregnancy-related deaths in the United States. In the third stage of labour, risk classification and active management are crucial preventative techniques. To avoid negative effects, a multidisciplinary approach to PPH patient care is required. To treat uterine atony, uterotonic medicines like oxytocin are used in combination with manipulative procedures like uterine massage and balloon tamponade. The amount of blood loss, duration of the third stage, need for MRP, incidence of PPH, need for repeated oxytocics, and its side effects were measured in Group I 100 women who were administered injection oxytocin 10 IU injection methergin 0.2 mg IV within one minute of the baby's delivery. The mean blood loss at vaginal delivery in Group I was 100-150 ml and in group I P value 0.027, which was statistically significant .In Group II was 160-200 ml with P value 0.036, which was statistically significant. The mean duration of third stag labour in Group 1 was 124.6 min and Group 2 was 144.8 min intravenous methergin is a better uterotonic when compared to intramuscular oxytocin to reduce the amount of blood loss at delivery and prevent complications like atonic PPH.

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Cervical traction: a simple step ahead in the prevention of postpartum hemorrhage

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20193148 ◽

2019 ◽

Vol 8 (8) ◽

pp. 3174

Author(s):

Harshita Naidu ◽

Sujatha B. S. ◽

Muralidhar V. Pai

Keyword(s):

Blood Loss ◽

Postpartum Hemorrhage ◽

Active Management ◽

Control Group ◽

Case Group ◽

Postpartum Blood Loss ◽

The Third ◽

Third Stage Of Labor ◽

Third Stage ◽

Cervical Traction

Background: Postpartum hemorrhage is the most common preventable cause of maternal mortality in developing countries. The present study aimed to examine the impact of cervical traction technique in reducing the amount of postpartum blood loss and rate of PPH.Methods: This was a case-control, pilot study conducted in a tertiary hospital between June 2017 to June 2018. A total of 200 singletons, low-risk pregnant females, undergoing normal vaginal delivery, were enrolled in this study. Subjects showing a high risk for PPH were excluded. Patients were randomized as case group (n=100) and control group (n=100). The case group received sustained traction for 90 seconds to anterior and posterior lip of the cervix with active management of the third stage of labor, whereas the control group received routine active management of the third stage of labor. All subjects were followed up for 6 hours post-delivery. The amount of blood loss, hematocrit and hemoglobin post-delivery were compared between both groups.Results: The mean blood loss (ml), decrease in hemoglobin (g/L) and decrease in hematocrit post-delivery in cases were significantly low compared to controls (207±37.6 versus 340±49, P<0.01), (0.78±0.2 versus 1.4±0.3, P=0.03) and (1.7±0.2 versus 3.5±0.2, P<0.01). PPH occurred in 7 of 200 (3.5%) patients. The difference in the number of PPH was not significant (5/100; 5% versus 2/100; 2% P=0.2). There were no complications reported due to cervical traction.Conclusions: Cervical traction is a simple and safe maneuver to reduce the amount of postpartum blood loss. Larger RCT is recommended to investigate the reduction in PPH rate.

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A comparative study of the effectiveness of placental blood drainage versus no placental blood drainage in active management of third stage of labor at a tertiary care hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20204825 ◽

2020 ◽

Vol 9 (11) ◽

pp. 4636

Author(s):

Charul Mittal ◽

Jaya Choudhary ◽

Akshi Agarwal ◽

Kalpana Tiwari

Keyword(s):

Blood Loss ◽

Postpartum Haemorrhage ◽

Tertiary Care ◽

Active Management ◽

Control Group ◽

Study Group ◽

Care Hospital ◽

Third Stage Of Labor ◽

Third Stage ◽

Placental Blood

Background: WHO defines postpartum haemorrhage (PPH) as when blood loss is greater than or equal to 500 ml within 24 hours after birth. When blood loss is greater than or equal to 1000 ml within 24 hourrs, it is called as severe primary postpartum haemorrhage. Placental blood drainage is done by clamping and cutting of umbilical cord after birth of baby followed by unclamping the maternal side of cord so the blood can drain freely into a container.Methods: 200 patients were studied in current research finding. Study group had 100 patients whose placental blood drainage was done and control group had 100 patients whose placental blood drainage was not done. This study was done to analyze the effectiveness of placental blood drainage in reducing blood loss.Results: The duration of third stage of labor was 295.70 seconds in study group and 475.20 seconds in control group. The amount of blood loss in study group was 273.76 ml and 294.92 ml in control group. p value was found to be significant. Incidence of PPH in study group was 1% and 8% in control group.Conclusions: Placenta blood drainage was safe and simple. It is a non invasive method very useful to prevent PPH. It reduces the duration of third stage of labor and reduces amount of blood loss.

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PRIMARY POSTPARTUM HEMORRHAGE

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.10.1718 ◽

2016 ◽

Vol 23 (10) ◽

pp. 1178-1182

Author(s):

Rozina Yasir ◽

Mumtu Bai Lakhwani ◽

Shaista Naz ◽

Zain Ali

Keyword(s):

Blood Loss ◽

Tertiary Care ◽

Active Management ◽

Control Group ◽

P Value ◽

Care Hospital ◽

Group I ◽

Third Stage ◽

Uterine Massage ◽

Group Ii

Objectives: The aim of our study is to determine the effectiveness of uterinemassage with active management and compare it with active management alone, in primarypostpartum hemorrhage prevention. Study Design: Randomized control trial. Period: 8months from September 2014 to April 2015. Setting: Tertiary Care Hospital in Karachi, Pakistan.Method: The study population consists of n=118 patients, both emergency and elected cases,who came to the gynecology and obstetrics ward at our hospital. The patient population wasdivided into two groups, group I received active management of labor ( third stage ) while groupII received active management of labor (third stage) in addition to the uterine massage (for a 2hrduration), the outcome was measured by measuring the amount of blood loss and the need foruterotonic agents. A p value of less than 0.05 was considered significant. Results: The studypopulation consisted of n=118 patients, undergoing spontaneous labor, and divided into twogroups, the mean blood loss in group I (control group) was 211.4mls and in group II (massagegroup) was 167.8mls (p value= 0.015). In group I n=15 patients required additional uterotonicsupport, while in group II only n=3 patients required it (p value= 0.00058). Conclusion:According to the results of our study, uterine massage in addition to the active managementof labor reduces post-partum hemorrhage, and it also reduces the requirement for additionaluterotonic agents for the control of hemorrhage.

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PENGARUH METODE PEMBELAJARAN PREVIEW, QUESTION, READ, REFLECTION, RECITE DAN REVIEW (PQ4R) BERBANTUAN MEDIA BOOKLET TERHADAP HASIL BELAJAR SISWA PADA MATERI IKATAN KIMIA SISWA KELAS X SMA NEGERI 1 PENGKADAN KABUPATEN KAPUAS HULU

AR-RAZI Jurnal Ilmiah ◽

10.29406/arz.v5i1.650 ◽

2017 ◽

Vol 5 (1) ◽

Author(s):

Darmawansyah Darmawansyah ◽

Cawang Cawang ◽

Rody Putra Sartika

Keyword(s):

Data Collection ◽

Chemical Bonding ◽

Sampling Technique ◽

Posttest Score ◽

Control Group ◽

Homogeneity Test ◽

Control Group Design ◽

Learning Achievement ◽

Significant Difference ◽

Bonding Method

ABSTRACT This study aimed to determine the effect of booklet-based on PQ4R learning method. Using quasi experimental method, as well as nonequivalent control group design, this study employed students of grade X as the samples (Grade XA as the control group and grade XB as the experiment group). They were selected by using purposive sampling technique. The data collection tools used were essay and interview. While the data collection technique employed were measurement and direct communication. The study revealed that the average posttest score of the experiment group was 83,68, while the average posttest score of the experiment group was 83,68. Hence the experiment group was distributively considered normal. The homogeneity test indicated that both groups were homogenous (sig value 0,0522>0,05). However, the hypothetical test of t independent sample with α=0,05 discovered T account of 2,960>560. This value indicated that there was a significant difference of students’ learning achievement by using booklet based PQ4R method and lecturing method in chemical bonding class at grade X of SMA Negeri 1 Pengkadan. The result of effect size value was 0,81 which entailed the highest level of the effect (28,20%).Keywords: Booklet, Learning achievement, Chemical bonding, Method of Preview, Question,Read, Reflection, Recite and Review (PQ4R)

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Immunization of Guineapigs against Ascaris suum

Journal of Helminthology ◽

10.1017/s0022149x00021258 ◽

1960 ◽

Vol 34 (3-4) ◽

pp. 347-348 ◽

Cited By ~ 5

Author(s):

L. F. Taffs

Keyword(s):

Control Group ◽

Group Iii ◽

Successful Attempt ◽

Group I ◽

Third Stage ◽

Previous Infection ◽

Group Ii ◽

Intravenous Inoculation ◽

Subcutaneous Inoculation ◽

Control Group Group

It has been shown that guineapigs can be effectively protected against re-infection by the subcutaneous inoculation of embryonated Ascaris eggs (Soulsby, 1957). The purpose of this communication is to report a successful attempt to immunize guineapigs against a lethal oral challenge dose of eggs by the intravenous inoculation of third stage larvae of A. suum.Three groups, each containing nine guineapigs, were infected with Ascaris as follows: Group I was given 10,000 eggs by mouth. Group II Was inoculated intravenously with 2,000 third stage Ascaris larvae which had been obtained from the lungs of other guineapigs on the sixth day of infection. Both groups were challenged at the same time with 250,000 eggs by mouth, along with a control group (Group III) which had no previous infection. The guineapigs in Group I were re-infected after 18 days and those in Group II after 12 days.

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Active management of third stage of labor

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v1i2.1490 ◽

1970 ◽

Vol 1 (2) ◽

pp. 25-27

Author(s):

Meena Thapa ◽

Rachana Saha ◽

Sumita Pradhan ◽

Sushil Thakur ◽

Archan Shamsher Rana

Keyword(s):

Blood Loss ◽

Post Partum ◽

College Teaching ◽

Uterine Atony ◽

Active Management ◽

Retained Placenta ◽

Average Blood Loss ◽

Cord Clamping ◽

Third Stage Of Labor ◽

Third Stage

Objective: Overall objective of the study was to see effects of active management of third stage of labour (AMSTL) with oxytocin. Specific objective of the study was to look for incidence of Post-Partum Haemorrhage (PPH), length of 3rd stage, incidence of retained placenta and average blood loss. Methodology: A hospital based prospective, descriptive, observational study was carried out from 1st July 2005 to 30th June 2006 at department of Obstetrics and Gynaecology, Kathmandu Medical College Teaching Hospital (KMCTH). All patients undergoing vaginal delivery excluding twins, polyhydraminios and instrumental deliveries were included in the study. The active management of 3rd stage included administration of 10 units IU of oxytocin, early cord clamping, controlled cord traction and uterine massage. Blood loss was estimated by visual inspection and measured by jar pressed against perineum. Result: Total number of deliveries during the study period was 530. There were 13 cases of PPH. Incidence of PPH was 2.4%. There were six cases each of uterine atony and genital tract trauma. One case was of retained placenta requiring Manual Removal (MRP). Average third stage duration was less than 5 minutes. Average blood loss was 90 ml. In 2 cases the third stage lasted more than 30 mins. Conclusion: Active management of 3rd stage of labour reduces the incidence of PPH from uterine atony, reduces the duration as well as average blood loss during third stage.condition. Key words: Labor analgesia; epidural, combined spinal epidural; complications, dural puncture, postdural puncture headache (PDPH); prevention. doi:10.3126/njog.v1i2.1490 N. J. Obstet. Gynaecol Vol. 1, No. 2, p. 25 - 27 Nov-Dec 2006

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Effect of Different Doses of Intraumbilical Oxytocin on Third Stage of Labor

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1435 ◽

2016 ◽

Vol 8 (4) ◽

pp. 286-289

Author(s):

Devyani Sawai ◽

Susheel Kumar Sharma ◽

Geeta Jain

Keyword(s):

Blood Loss ◽

Randomized Study ◽

Multiple Pregnancy ◽

Medical College ◽

Medical Disorders ◽

Third Stage Of Labor ◽

Third Stage ◽

Before And After ◽

Different Doses ◽

Singleton Pregnancies

ABSTRACT Objectives A prospective randomized study was conducted from May 2012 to April 2014 at the Department of Obstetrics and Gynecology, Dr. Sushila Tiwari, Memorial Government Hospital and Government Medical College, Haldwani. Its aim was to study and compare the effects of different doses of intraumbilical oxytocin on 3rd stage of labor with respect to duration and amount of blood loss. Materials and methods The study comprised 200 antenatal cases and included patients with singleton pregnancies at term and spontaneous onset of labor while excluding those with medical disorders of pregnancy, antepartum hemorrhage (APH), multiple pregnancy, polyhydramnios, chorioamnionitis, severe anemia, Rh negative pregnancy, pregnancy-induced hypertension (PIH), prior cesarean delivery, and forceps or ventouse application during delivery. History and examination was taken in each patient before delivery and hemoglobin and hematocrit were noted before and after delivery. Progress of labor was monitored and each patient was randomized into one of the four groups according to the dose of oxytocin to be given. Results Increasing doses of oxytocin resulted in decrease in duration of 3rd stage of labor and amount of blood loss. Conclusion Third stage of labor and amount of blood loss significantly reduced by increasing the dose of oxytocin to 30 IU. How to cite this article Sawai D, Sharma SK, Jain G. Effect of Different Doses of Intraumbilical Oxytocin on Third Stage of Labor. J South Asian Feder Obst Gynae 2016;8(4):286-289.

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