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العلاقة بين موقع المشيمة ومدة مراحل الولادة == Association between Site of Placenta and Duration of Stages of Labor
Author name:
هناء محمد حيدر
Supervisor name:
يسرى نعمان محمد
General topic:
Medicine
Specific topic:
Obstetrics and Gynecology
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1568 - p.pdf
Abstract:
Childbirth is a complex physiological, sociological and psychologicalevent. The third and fourth stages of labor are usually uneventful;although significant compilations can occur in this period, sites placentae have a significant clinical effect on the progress of labour , particularly the duration of third stage.Aim of studyTo investigate how the location of the placenta at term pregnancies affects the duration of the third stage of labor.Patients & MethodsA cross sectional study was carried out in a obstetric department of Baghdad Teaching hospital for period from 1st of November, 2013, to 1st of June, 2014 on sample of 300 pregnant women at term who selected randomly by simple random sampling. The data were collected by the researcher in labor room after completing examination of the selected patient by direct interview and filling a prepared questionnaire included demographic information, obstetric information and information about placental site.ResultsThe fundal placental site represented only 25.7% of the studied patients, the mean duration of third stage of labor was 8±3 minutes. ANOVA analysis revealed a significant association between women with fundal site of placenta and shorter duration of third stage of labor (p < 0.001). A significant association was observed between women with posterior placenta and shorter gestational ages of pregnant women (p = 0.04). Women with posterior placenta were highly associated with previous abortions (p = 0.02). Women with posterior placenta were highly associated with fetal birth weight : S 3.5 Kg (p = 0.04).Conclusions & Recommendations A fundal site of placenta may be closely related to shorter duration of third stage of labor and a posterior site of placenta may be closely related to longer duration of third stage of labor. It is important to doctors, nurses and midwives to be aware of placental site and encouraging larger studies to confirm the relation between placental site and duration of third stage of labor.
