Re: [ozmidwifery] Induction and third stage labour

[Tanya Fleming]

I am taken by surprised of this too....i teach the very same as you Karen.  I also believe that the cord should be cut immediately before giving synto, to prevent passage of syntocinon into baby's circulation....if cord is still pulsating, one would think this is possible as synto act quickly.  I am interested to hear everyone elses beleifs and practices too! Cheers, Tanya Fleming ----- Original Message ----- From: karen shlegeris To: ozmidwifery@acegraphics.com.au Sent: Monday, October 03, 2005 6:21 PM Subject: [ozmidwifery] Induction and third stage labour Dear List, I’m a birth educator and prenatal yoga teacher in Townsville.  I hope these questions are appropriate for this list and would appreciate information from you:   Induction.  Andrea’s Preparing for Birth:Mothers book and the wall poster on cascade of intervention states that induction increases the risks of further intervention and ultimately caesarean, and that’s what I’ve always taught in my Active Birth classes.  However, when challenged for statistics by a client in a recent workshop, I looked up Enkin, Kierse etc. who stated that induction does not increase the risk of caesareans, recommending that induction is recommended soon after a women passes her EDD.  Can anyone clear this up for me?   Third stage of labour.  I was under the belief that if active management of third stage was chosen, the cord had to be clamped and cut quickly to avoid an over-transfusion of blood from the placenta into the baby.  However, an OB recently told a client of mine that even if she had a Synto injection, the cord could be left until it stopped pulsing.  I’ve checked Myles textbook for midwives but it’s not clear on this.    I appreciate your support.   Best wishes, Karen Shlegeris in Townsville