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In Ethiopia livestock production is an integral part of the agricultural system contributing 40%% of the agricultural gross domestic product (GDP) and 20%% of the total GDP without considering other contributions like provision of traction power, organic fertilizers and as means of transport [ 4, 5].
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There were important findings related to the provision of controlled cord traction.
Among those with no oxytocin prophylaxis, provision of controlled cord traction reduced hemorrhage risk by nearly 50% as compared with expectant management (P < 0.001).
This practice has three services, all delivered immediately after birth to prevent hemorrhage: provision of oxytocin, cord traction, and uterine massage.
Among those with oxytocin prophylaxis, provision of controlled cord traction reduced hemorrhage risk by 66% when oxytocin was intramuscular (P < 0.001), but conferred no benefit when oxytocin was intravenous.
In the no oxytocin prophylaxis regimen, provision of controlled cord traction reduced post-partum hemorrhage risk by nearly 50% as compared with no AMTSL components (OR = 0.53, 95% CI 0.42 0.66).
Most recently, a large randomized controlled trial involving more than 24000 participants found that provision of controlled cord traction had only a small, non-significant effect on the risk of severe hemorrhage among women who were already receiving oxytocin prophylaxis (intravenous or intramuscular) [ 13].
In the oxytocin prophylaxis regimen, provision of controlled cord traction reduced post-partum hemorrhage risk by 66% when oxytocin was administered intramuscularly (OR = 0.33, 95% CI 0.25 0.45), but conferred no benefit when oxytocin was administered intravenously (OR = 1.13, 95% CI 0.43-2.96 a.
"There's not a lot of traction.
We were getting a lot of traction.
A lack of traction could prove important.
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CEO of Professional Science Editing for Scientists @ prosciediting.com