Shiraz E-Medical Journal

Published by: Kowsar

Management of Third Stage of Labor: A Comparison of Intraumbilical Oxytocin and Placental Cord Drainage

Somayeh Makvandi 1 , * , Shirin Zargar Shoushtari 2 and Vahideh Zaker Hosseini 3
Authors Information
1 Islamic Azad University Ahvaz Branch, Ahvaz, IR Iran
2 Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
3 Arvand International Division, Ahvaz Jundishapur University of Medical Sciences, Apadana Hospital, Ahvaz IR Iran
Article information
  • Shiraz E-Medical Journal: January 01, 1970, 14 (2); 83-90
  • Published Online: January 1, 1970
  • Article Type: Research Article
  • Received: February 16, 2013
  • Accepted: February 21, 2013

To Cite: Makvandi S, Zargar Shoushtari S, Zaker Hosseini V. Management of Third Stage of Labor: A Comparison of Intraumbilical Oxytocin and Placental Cord Drainage, Shiraz E-Med J. 1970 ; 14(2):83-90.

Copyright © 1970, Shiraz University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Material and Methods
3. Results
4. Discussion
5. Conclusion
  • 1. Chamberlain G. The clinical aspects of massive haemorrhage. Maternal Mortality-The Way forward. London: RCOG. 1992; : 54-62
  • 2. Dahiya P, Puri M, Rathee S. Influence of intraumbilical oxytocin on the third stage of labour. Indian Journal of Medical Sciences. 1995; 49(2): 23
  • 3. Goerke K, Steller J, Valet A. Clinical manual of obstetrics and gynaecology 1997;
  • 4. Shaver DC, Phelan S, Beckmann C, Ling F. Clinical manual of obstetrics. 1993;
  • 5. WHO recommendations for the prevention of postpartum haemorrhage. Geneva: World Health Organization: Department of Making Pregnancy Safer. 2007;
  • 6. Neri A, Goldman J, Gans B. Intra-umbilical vein injection of Pitocin. A new method in the management of the third stage of labor. Harefuah. 1966; 70: 351-3
  • 7. Sivalingam N, Surinder S. Is there a place for intra-umbilical oxytocin for the management of retained placenta? The Medical journal of Malaysia. 2001; 56(4): 451
  • 8. Carroli G, Bergel E. Umbilical vein injection for management of retained placenta. Cochrane Database Syst Rev. 2001; 4
  • 9. Habek D, Franičević D. Intraumbilical injection of uterotonics for retained placenta. International Journal of Gynecology & Obstetrics. 2007; 99(2): 105-9
  • 10. Rogers M, Yuen P, Wong S. Avoiding manual removal of placenta: evaluation of intra-umbilical injection of uterotonics using the Pipingas technique for management of adherent placenta. Acta obstetricia et gynecologica Scandinavica. 2007; 86(1): 48-54
  • 11. Weeks AD, Alia G, Vernon G, Namayanja A, Gosakan R, Majeed T, et al. Umbilical vein oxytocin for the treatment of retained placenta (Release Study): a double-blind, randomised controlled trial. The Lancet. 2010; 375(9709): 141-7
  • 12. Kore S, Srikrishna S, Hedge A, AmbiyeVR VP. Active management of third stage of labour with intraumbilical oxytocin injection. J Obstet Gynaecol India. 2000; 50(3): 54-5
  • 13. Ojha N, Malla DS. Active management of third stage of labour by oxytocin: Umbilical vein versus intramuscular use. Nepal Journal of Obstetrics and Gynaecology. 2007; 2(1): 13-6
  • 14. Prendiville W, Elbourne D, McDonald S. Active versus expectant management in the third stage of labour (Review). 2009;
  • 15. Soltani H, Dickinson F, Symonds I. Placental cord drainage after spontaneous vaginal delivery as part of the management of the third stage of labour. Cochrane Database Syst Rev. 2005; 4
  • 16. Sharma J, Pundir P, Malhotra M, Arora R. Evaluation of placental drainage as a method of placental delivery in vaginal deliveries. Archives of Gynecology and Obstetrics. 2005; 271(4): 343-5
  • 17. Taebi M, Abedzadeh Kalahroudi M, Sadat Z, Saberi F. The duration of the third stage of labor and related factors. Iranian Journal of Nursing and Midwifery Research. 2012; 17(2)
  • 18. Güngördük K, Asicioglu O, Besimoglu B, Güngördük OC, Yildirm G, Ark C, et al. Using intraumbilical vein injection of oxytocin in routine practice with active management of the third stage of labor: a randomized controlled trial. Obstetrics & Gynecology. 2010; 116(3): 619-24
  • 19. Altman DG. Statistics and ethics in medical research: III How large a sample? British Medical Journal. 1980; 281(6251): 1336
  • 20. Tehseen F, Anwar A, Arfat Y. Intraumbilical veinous injection oxytocin in the active management of third stage of labour. J Coll Physicians Surg Pak. 2008; 18: 551-4
  • 21. Nazarpoor S. The effect of cord blood drainage and oxytocin injection into the umbilical vein in the du ration of third stage of the labour (1994). Iran Journal of Nursing. 1999; 13(21): 45-50
  • 22. Golan A, Lidor A, Wexler S, David M. A new method for the management of the retained placenta. American journal of obstetrics and gynecology. 1983; 146(6): 708
  • 23. Jongkolsiri P, Manotaya S. Placental cord drainage and the effect on the duration of third stage labour, a randomized controlled trial. Medical journal of the Medical Association of Thailand. 2009; 92(4): 457
  • 24. COMBS CA, LAROS Jr RK. Prolonged third stage of labor: Morbidity and risk factors. Obstetrics & Gynecology. 1991; 77(6): 863-7
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments