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Re: active management of the placenta or third stage From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Thu Mar 16 15:25:51 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: Informed Refusal - VBAC" Previous message: Len2976@aol.com: "Re: Informed Refusal - VBAC" Maybe in reply to: S Osterling M.D.: "active management of the placenta or third stage" Next in thread: Efrain Ramirez: "Re: active management of the placenta or third stage" Try the Cochrane Library: http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD00000 7/pdf_fs.html Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Jamie Sent: Friday, 17 March 2006 1:54 AM To: Multiple recipients of list OB-GYN-L Subject: 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 Next message: Dr Eberhard Lisse: "Re: Informed Refusal - VBAC" Previous message: Len2976@aol.com: "Re: Informed Refusal - VBAC" Maybe in reply to: S Osterling M.D.: "active management of the placenta or third stage" Next in thread: Efrain Ramirez: "Re: active management of the placenta or third stage"

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