Sue Cookson wrote:
Hi,
This article appeared in last week's Sydney Morning Herald.
I think it's amazing and it appears that some of the information is
incorrect in that the article states that NSW Health implemented
active thrid stage and early cord clamping in 2002. Surely
syntometrine and syntocinon have been used for many more years than
just the last four, in which case this study is a real eye-opener if
you believe we are stopping women from bleeding by using drugs in
third stage.
What do you think?
Sue
I wonder how many of these women had inductions (for eg)?
Ive also seen (during my student experiences, & so have other current
students) some midwives & doctors apply CCT without giving synt, &
describing this as 'physiological' 3rd stage. There are lots of 'mixed
managements' of 3rd stage out there with no real evidence base, IMHO
once you do anything like pull on the cord its active management, but on
the 'coal face' there sometimes doesnt seem to be much consensus around
'reasonable' evidence-based 3rd stage management.
What Im pointing out is there is sometimes a gap bewteen what we think
we mean by a term ('active 3rd stage', for eg) & what actually happens,
ie, how that is interpreted by the person doing the job, & the term may
imply consistency but that doesnt fit reality
cheers.
--
Jennifairy Gillett RM
Midwife in Private Practice
Women’s Health Teaching Associate
ITShare volunteer – Santos Project Co-ordinator
ITShare SA Inc - http://itshare.org.au/
ITShare SA provides computer systems to individuals & groups, created
from donated hardware and opensource software
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