{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:15:48Z","timestamp":1788542148731,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T00:00:00Z","timestamp":1695945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Placental cord drainage (PCD) after vaginal birth accelerates placental delivery by 2.85\u2009minutes, but reduces blood loss by only 77\u2009mL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine if PCD at elective caesarean section accelerates placental delivery, compared to delayed cord clamping (DCC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This randomised controlled trial randomised 100 women undergoing elective caesarean sections to receive either PCD for 60\u2009sec after birth, or DCC for 60\u2009sec. The primary outcome was time from birth until placental delivery. Secondary outcomes included estimated blood loss (EBL), postoperative haemoglobin drop, rates of postpartum haemorrhage (PPH), manual removal of placenta and blood transfusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no significant difference in timing of placental delivery (PCD 122\u2009sec vs DCC 123.5\u2009sec, <jats:italic>P<\/jats:italic>\u2009=\u20090.717). There were no significant differences in EBL (PCD 425\u2009mL vs DCC 400\u2009mL, <jats:italic>P<\/jats:italic>\u2009=\u20090.858), postoperative haemoglobin drop (PCD 12\u2009g\/L vs DCC 15\u2009g\/L, <jats:italic>P<\/jats:italic>\u2009=\u20090.297), PPH rate (PCD 45.8% vs DCC 44.4%, <jats:italic>P<\/jats:italic>\u2009=\u20090.893, relative risk (RR) 1.03, 95% confidence interval (CI) 0.66\u20131.62), manual removal rate (PCD 2.1% vs DCC 4.4%, <jats:italic>P<\/jats:italic>\u2009=\u20090.609, RR 0.47, 95% CI 0.04\u20134.99) or transfusion rate (PCD 4.2% vs DCC 0%, <jats:italic>P<\/jats:italic>\u2009=\u20090.495).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>PCD did not accelerate placental delivery at caesarean compared with DCC. Given that both PCD and DCC groups had faster placental deliveries than quoted in the literature at caesarean (200\u2009sec), it could be postulated that DCC is mimicking the effect of PCD through passive transfusion to the neonate. This supports routine use of DCC at elective caesarean section.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13756","type":"journal-article","created":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T04:21:10Z","timestamp":1696047670000},"page":"120-127","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Placental cord drainage vs delayed cord clamping at elective caesarean section: A randomised controlled trial"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2836-3164","authenticated-orcid":false,"given":"Michael James","family":"Fahy","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Eastern Health  Melbourne Victoria Australia"},{"name":"Department of Women's Health Monash Health  Melbourne Victoria 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