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Re: Active management - third stage From: Anna Meenan, MD (annam@uic.edu) Tue Oct 11 21:59:08 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Active management - third stage" Previous message: Garry E. Siegel, M.D.: "OB: Fun and Games at 42w1d (long)" In reply to: RModugno@aol.com: "Active management - third stage" Next in thread: rmodugno@aol.com: "Re: Active management - third stage" Reply: rmodugno@aol.com: "Re: Active management - third stage" Active management of third stage is taught in the ALSO course. I tried to do it on our L&D unit but the nurses (who as you know call all the shots) generally would take their time drawing up the pit and were generally unenthusiastic, mumbling something about the cervix clamping down, etc. -- Anna Meenan, MD At Tue, 11 Oct 2005, RModugno@aol.com wrote: > >In training in South Africa in the early 70's active management of the third >stage was routine - the administration of an oxytocic agent with delivery of >the anterior shoulder and controlled cord traction. > >I have worked in the U.S. since 1978 and have never seen active management >of the third stage used.On questioning British-trained nurse midwives at our >hospital, they have never seen it used either. > >The Cochrane reviews claim that active management of the third stage reduces >PPH by 60%. > >British literature on PPH often mentions this as prophylaxis for PPH. > >American literature on PPH never mentions this. > >Why is active management of the third stage not used in the U.S.? Or is it? > >Thoughts! > >Robert Modugno MD MBA FACOG >Marietta, GA Next message: Efrain Ramirez: "Re: Active management - third stage" Previous message: Garry E. Siegel, M.D.: "OB: Fun and Games at 42w1d (long)" In reply to: RModugno@aol.com: "Active management - third stage" Next in thread: rmodugno@aol.com: "Re: Active management - third stage" Reply: rmodugno@aol.com: "Re: Active management - third stage"

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