Hi Lisa sorry didn't mean to reply as I did, am abit passionate about this..have pmed you a copy of the bmj paper which talks about this..I think what they are saying is that the 'belief' about the overload of blood with the oxytocic hasn't been proven maybe!? Have read lots of old stuff about the hyperviscosity/overload theories but as I say these were old and many ? Opinion based...look forward to what you can dig up.... ! The paper is geared towards developing countries where babies are more likely to suffer from anaemia but I think it is pertinent to developed countries too. Lisa
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lisa Barrett Sent: Tuesday, 14 November 2006 5:12 PM To: [email protected] Subject: Re: [ozmidwifery] Delaying synto with active third stage Hi Lisa, Delaying the Syntocinon until after the cord has stopped pulsing isn't a problem as up until you give the drug you are treating it as a physiological third stage. giving the drug then just waiting for the cord to stop could be a problem. When I have a few mins I'll check it out I'm pretty sure there's something on the rush of blood caused and the transfer of the drug in connection with Jaundice. I realise that some women opt for active third stage but if they've gone as far as letting the cord stop with no bad effect it seems a shame not to continue. I wasn't implying that there was information that you weren't aware of :-) Lisa Barrett ----- Original Message ----- From: "LJG" <[EMAIL PROTECTED]> To: <[email protected]> Sent: Tuesday, November 14, 2006 4:55 PM Subject: RE: [ozmidwifery] Delaying synto with active third stage Well that's what we've always been led to believe, but it's not a one way system is it? So if you are using syntocinon (not syntometrine where the contraction is much stronger and more sustained) why won't the baby regulate it's own blood volume? I am speaking from hospital experience where active is the norm and where in some births the cord is clamped so quickly even before the kid has taken a gasp! And funnily enough we do actually have women who have 'unmanaged' first/second stages and opt for active third stages..so why not wait for a bit before giving the oxytocic and clmaping...this is what I see no harm in..and am aware of the need to not mix methods i.e cct with physiological Lisa Why would you do that Lisa? if you give an oxytocic you get a surge of blood through the cord. The uterus contracts within 3 mins Syntocinon 7/9 mins ergometrine. The Placenta should be sheared off the wall within minutes. If you want the cord to stop pulsating in a well new born surely the way to go is a physiological third stage. Half way house between both is a recipe for disaster . Physiological first and second stage = physiological third stage. Managed first and second stage= active third stage. Lisa Barrett ----- Original Message ----- From: "LJG" <[EMAIL PROTECTED]> To: <[email protected]> Sent: Tuesday, November 14, 2006 12:26 PM Subject: [ozmidwifery] Delaying synto with active third stage Hi Sue this is something I have always been interested in....the link is to the FIGo/ICM Joint statement on active third stage and it states you can leave the cord in a well newborn to stop pulsating...and then cut; this is with giving the oxytocic at birth...... http://www.sogc.org/guidelines/public/136E-JPS-November2003.pdf There was also a paper on delayed cord clamping and its benefits in the BMJ a few weeks back.....it sites the above statement and promotes a delay in cord clamping even in active third stage Regards Lisa -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
