Susan Cudlipp wrote:
Interesting!
"usual" management where you are would seem to be what others would call "active" management, as opposed to physiological.   30 units syntocinon in one litre of hartmanns is what we use for PPH or those at high risk - again, dependant upon the doctor on duty - one that no longer works with us used to request  this management quite frequently, the others only seem to do it when there is PPH or an atonic uterus, twins, etc. Or may request it be ready in case for grand multips etc.
But again, you practice waiting for signs of separation before CCT -  is this stated in your hospital policy?  I have tried looking in ours and it just states "Active management" without a step-by-step protocol as to what this should entail.
Thanks for your input
Sue
 
PS - HTH!  ???
Susan, HTH means "hope this helps" ;)
I'll check out the actual wording of our policy when I'm on next (Tuesday), about waiting for signs of separation.

I'll get back to you :)

Jo (RM)

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