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Re: active management of the placenta or third stage From: Betsy Hyde (elishyde@mindspring.com) Thu Mar 16 08:28:59 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Myer S. Bornstein: "Re: Informed Refusal - VBAC" Previous message: doctorjoe@aol.com: "Re: FRI Informed Refusal - VBAC" In reply to: Jamie: "Re: active management of the placenta or third stage" Next in thread: zygote@icsi.net: "Re: active management of the placenta or third stage" Reply: zygote@icsi.net: "Re: active management of the placenta or third stage" The most well-known study is the Hinchingbrooke trial which was reported in Lancet in 1998, although there are many others. In addition, active management of third stage is a WHO recommendation. Active versus expectant management of third stage of labour: the Hinchingbrooke randomised controlled trial [Articles] Rogers, Jane; Wood, Juliet; McCandlish, Rona; Ayers, Sarah; Truesdale, Ann; Elbourne, Diana Lancet 1998; 351: 693-99. I tend to give im pit just after the baby is born (even if the woman has an iv for other reasons). It is my belief that the recommendation to give it with the anterior shoulder is only a precaution to insure that you are not going to have a shoulder dystocia. There tends to be a lot going on at that point, and I'd rather that it be delayed until the baby is out. I do disagree with early cord clamping, however. There is a large body of evidence supporting the benefits of delayed cord clamping. -- Betsy Hyde CNM Branford, CT On Mar 16, 2006, at 9:53 AM, Jamie wrote: > 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)? >> >> http://www.aafp.org/afp/20060315/1025.html >> >> S. Osterling M.D. >> California > > -- > JFields, RN, BSN Next message: Myer S. Bornstein: "Re: Informed Refusal - VBAC" Previous message: doctorjoe@aol.com: "Re: FRI Informed Refusal - VBAC" In reply to: Jamie: "Re: active management of the placenta or third stage" Next in thread: zygote@icsi.net: "Re: active management of the placenta or third stage" Reply: zygote@icsi.net: "Re: active management of the placenta or third stage"

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