I have read somewhere once ( have no idea where) that what you are suggesting is in fact the case.
Active third stage has less loss in labour ward ( seen by the doctors( but more loss over the next 5-7 days ( not seen or measured by the doctors and rarely by the midwife unless the woman reports it as excessive and surely this will be subjective depending on what her periods have been like). Physiologic has more loss at birth but less in the next 5-7 days but by the end of this time both groups will have got rid of the amount that nature determines that woman needs to get rid of based on how much extra she has from what is the norm for her.
As for ear infections I bf all my kids for at least a year and my first one had many ear infections in his first year. He also had blocked tear ducts which led me to believe that anatomically he was just kinked up in that area. He grew out of it but bf does not prevent all infections. As I was once taught stasis is the basis of infection and when a child is retaining fluid behind the drum then he or she will be more prone to infection than others. Of course as you said we know formula makes mucous etc thicker and more prone to poolong thus leading to more infections but sometimes even bf is not enough to prevent it.
Andreaa
On 21/06/2005, at 9:14 PM, Mary Murphy wrote:
<x-tad-bigger>Congrats Justine, I didn’t know you were having another baby. Best wishes, MM</x-tad-bigger>
<x-tad-bigger> </x-tad-bigger>
<x-tad-bigger>From:</x-tad-bigger><x-tad-bigger> [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] </x-tad-bigger><x-tad-bigger>On Behalf Of </x-tad-bigger><x-tad-bigger>Justine Caines</x-tad-bigger>
<x-tad-bigger>Sent:</x-tad-bigger><x-tad-bigger> Tuesday, 21 June 2005 5:11 PM</x-tad-bigger>
<x-tad-bigger>To:</x-tad-bigger><x-tad-bigger> OzMid List</x-tad-bigger>
<x-tad-bigger>Subject:</x-tad-bigger><x-tad-bigger> Re: [ozmidwifery] physiological 3rd stage</x-tad-bigger>
Dear Susan and All
As a non-clinician I have kept out of this discussion, although I am very interested.
A midwife friend of mine mentioned that blood loss was not really measured outside the birth unit so the true loss associated with managed 3rd stage is not really known (do you also think this?). Perhaps this could be a research proposal in your obstetric managed no doubt 99% managed 3rd stage unit!!!
I am unsure of the logistics of it but it’s worth a thought.
I seem to think we get nowhere with the benefits of nature etc (ie natural birth, breastfeeding) so perhaps it is time to broadcast the negatives of the interventions very clearly. Managed vs physiological 3rd stage would be a great one as so few women understand that the jab is an intervention.
Perhaps the other side of the research could be a homebirth midwives practice (where the majority of 3rd stages are physiological).
I am banking on the benefits of homebirthing for my 4 soon 5. I need all the help I can get.
On the breastfeeding front, not one ear infection or any sickness in all 4 vs the repeat sickness of friends with the bottle-fed (but we knew that!).
Kind regards
Justine
