Susan, where I work we use Synometrine IMI, and are told to clamp the
cord immediately - the drug is supposed to be given with the anterior
shoulder, but is rarely given that soon... it is often given after the
cord is clamped. Then we await signs of separation before commencing
CCT. This is the usual management.... it is not called active
management... Active management is when a bag of 30IU syntocinon in
500ml CSL is commenced after the syntometrine is given IMI, at a rate
of 240ml/hr and titrated down according to loss. Someone told me when
I first started working there, "this woman is for active management of
3rd stage." I said, "I thought that was policy anyway..." "No, 30
units of synto in a 500ml bag is active management..." That is used
for anyone with a previous PPH or a grand multipara. One of the
private docs also uses that for red-headed women. Depending on which doctor is on how long before declaring 'retained placenta'. HTH! Jo (RM) Susan Cudlipp wrote:
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- Re: [ozmidwifery] question JoFromOz
- Re: [ozmidwifery] question Kim Stead
- Re: [ozmidwifery] question Susan Cudlipp
- Re: [ozmidwifery] question JoFromOz
- RE: [ozmidwifery] question Jeannie Minnis
- RE: [ozmidwifery] question Dean & Jo
- Re: [ozmidwifery] question Callum & Kirsten
- RE: [ozmidwifery] question Dean & Jo
- [ozmidwifery] Red heads Denise Fisher
- Re: [ozmidwifery] Red heads Kim Stead
- Re: [ozmidwifery] question JoFromOz