Evaluation of placental aspiration as a new method for placenta delivery

ABSTRACT

This is a randomized prospective study, of six months duration, to test the efficacy, of placental aspiration, a new method to deliver placenta, in comparison with placental drainage and expectant technique for management of third stage of labor. Total of 148 parturient women were randomized to one of three groups for management of third stage of labor, 50 women in expectant management control group, 48 in placental drainage group, and 50 in placental aspiration group. The clinical profile of the three groups was compared together, the age, gravidity, gestational age, onset of labor, augmentation with syntocinon, fetal weight, and placental weight. The outcome of each method, time of placental separation, amount of blood loss, and hemoglobin level were tested together. The three groups were comparable regarding items of clinical characteristics. Placental drainage had a comparable short time of placental separation as well as placental aspiration method in comparison with expectant management. Placental aspiration method demonstrated the best outcome; a significant decreased amount of blood loss and short time of placental separation. In conclusion, placental aspiration can be considered a useful method for management of third stage of labor. It decreases the duration of third stage of labor and reduces the amount of blood loss