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Re: active management of the placenta or third stage From: Jamie (ajfields@pine-net.com) Thu Mar 16 07:52:28 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jamie: "Re: Informed Refusal - VBAC" Previous message: Jamie: "Re: FRI Informed Refusal - VBAC" In reply to: Raymond Stephen: "Re: active management of the placenta or third stage" Next in thread: Betsy Hyde: "Re: active management of the placenta or third stage" Reply: Betsy Hyde: "Re: active management of the placenta or third stage" Reply: Barbara Nicol MD: "Re: active management of the placenta or third stage" I've been looking for the study showing active management decreases risk of PPH and can't find it, though I've seen the info quoted everywhere. Did it compare active management to immediate cord clamping and pitocin given after the placenta, to immediate clamping and pitocin not given at all, or to delayed clamping (with or without immediate breastfeeding)? At Thu, 16 Mar 2006, Raymond Stephen wrote: > >In theory oxytocics given after delivery have a slightly higher >incidence of PPH, but whether you give it with crowning, with the >anterior shoulder, or after delivery, the clinical difference is >minimal. The later it is, the more PPH there is, but, the earlier, the >more retained placentae, so you pays your money, you takes your choice. >Personally, I like it given with the anterior shoulder, but our midwives >are very relaxed about it and it rarely happens that way. > >Steve > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of S >Osterling M.D. >Sent: Thursday, 16 March 2006 2:57 PM >To: Multiple recipients of list OB-GYN-L >Subject: active management of the placenta or third stage > >here's a link to a family practice article about active management of >the third stage of labor. > >it recommends: > >oxytocin IV at delivery of anterior shoulder rapid cord clamp traction >on the cord > >I am one of the few docs at my hospital that gives oxytocin after the >baby is out. > >What do the rest of you think? > >http://www.aafp.org/afp/20060315/1025.html > >S. Osterling M.D. >California -- JFields, RN, BSN Next message: Jamie: "Re: Informed Refusal - VBAC" Previous message: Jamie: "Re: FRI Informed Refusal - VBAC" In reply to: Raymond Stephen: "Re: active management of the placenta or third stage" Next in thread: Betsy Hyde: "Re: active management of the placenta or third stage" Reply: Betsy Hyde: "Re: active management of the placenta or third stage" Reply: Barbara Nicol MD: "Re: active management of the placenta or third stage"

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