[ozmidwifery] 3rd Stage Feedback

[Ross W Timbs]

Denise   Yes.  At the hospital where I work all the women are public - no private at all.  Nearly all women go through midwives' clinic & see the same midwife throughout the pregnancy.  Third stage is discussed with all of them, and they are given a pamphlet that lists the pros & cons of active & physiological. A lot of women opt for physiologic - but the majority probably still choose active management.  As an interesting aside, we went through a patch a while back where we had an unusually large number of PPHs.  Just found out recently that we had a bodgy batch of syntocinon.    Perhaps it was the CCT that was used with the ineffective synto that caused these PPHs.  Another point in favour of physiologic 3rd stage!   Jacky