Re: [ozmidwifery] Re Episiotomy

[Nikki Macfarlane]

Thanks for the clarification Lesley and Marilyn. The HOOP trial conclusions was what I had read in MIDIRs some time ago and had assumed that this was what was being recommended by midwifery organisations. I am pleased to see that the trial results have been interpreted differently by some.   After reading the HOOP trial I was frustrated that they did not seem to provide enough information to determine why it was that the hands poised group had a significantly higher rate of manual removal of placenta. I can't think of any reason why this would be so - unless the midwives caring for these women were applying a different type of care for the third stage, either consciously or subconsciously, to the hands poised group. If they were providing different care, why was this? Perhaps a different subconscious attitude towards this type of care? Or something they were uncomfortable with? And if so, how did that affect other aspects of the trial?   Can anyone else think of any reason the hands poised group would have significantly higher levels of manual removal?   Nikki Macfarlane Childbirth International www.childbirthinternational.com [EMAIL PROTECTED] Distance training for the world's childbirth educators and doulas