EVALUATING THE IMPACT AND FUTURE APPLICATIONS OF CONTROLLED CORD TRACTION IN THE THIRD STAGE OF LABOR FOR ATHLETES

Abstract

Objective: This paper aims to summarize and analyze the effects of controlled cord traction (CCT) during the third stage of labor, particularly focusing on its application in athletes, who may have specific physiological considerations that could influence labor and delivery outcomes. Methods: A comprehensive review of the literature was conducted to assess the global consensus and divergent views on the use of CCT in the third stage of labor. The focus was on evaluating the technique's effectiveness in reducing the duration of labor, minimizing the risk of postpartum hemorrhage (PPH), and preventing complications such as artificial placental abruption and postpartum infections. Results: Although CCT has not been shown to significantly reduce the incidence of PPH, it effectively shortens the third stage of labor and decreases the risk of complications that are critical for the quick recovery and return to training for athlete mothers. The procedure, however, necessitates precise execution by well-trained midwives to avoid severe adverse outcomes, such as umbilical cord rupture or uterine inversion. Conclusion: CCT represents a valuable practice in managing the third stage of labor, particularly for athletes whose physical recovery postpartum is crucial. It should be promoted in clinical settings where trained professionals are available, considering the specific demands and health profiles of athletes. Future research should further investigate the long-term outcomes of CCT on athletic performance postpartum and develop tailored guidelines for its use among physically active women.