Hi Sue, I have also read and heard of this practice in America of giving the synto after the placenta has been delivered. One of the obstetricians who used to work here went to a conference over there where they were discussing 3rd stage management. When she suggested giving the synto before the placenta was delivered, she was absolutely shot down in flames...... "everyone knows that giving it before gives you retained placentas" !!!
Cheers Michelle ----- Original Message ---- From: Sue Cookson <[EMAIL PROTECTED]> To: [email protected] Sent: Wednesday, 15 November, 2006 8:17:06 AM Subject: Re: [ozmidwifery] Delaying synto with active 3rd stage Hi Andrea, I am not aware of the practice you have mentioned in America. Have you any references for this? Any idea what occurs if the placenta takes longer to arrive than the 20 minutes or so?? Sue > Hello Sue, > > The question of third stage management has a cultural aspect as well. > In the US, as far as I know, the syntometrine is not given until after > the placenta arrives. It is then given to prevent excessive > bleeding. Interesting to speculate on how this major difference > developed, and why it is acceptable to wait the 20 or so minutes for > the placenta to come physiologically in the US when it is unacceptable > in the UK/Australia. > > Another one of those examples of how habit/routine becomes standard > practice and is not questioned..... > > Regards, > > Andrea > > > > At 11:00 AM 14/11/2006, you wrote: > >> Hi, >> I'm interested if there is any research on delaying synto for say up >> to 5 minutes in 'active 3rd stage'. >> Have been doing actively managed third stage throughout my clinical >> placements as a student (nearly finished!!) with some practitioners >> cutting the cord immediately, and most at about 10 - 20 seconds. >> I've just prepared a powerpoint presentation on delayed cord clamping >> but know I will get into a discussion around the seeming conflict >> between active 3rd stage and delaying the clamping. Obviously if you >> don't want the effects of synto's action - strong uterine contraction >> with excess blood being pumped into bub, then you need to delay the >> entire process of actively managed 3rd stage until the cord is clamped. >> >> Does anyone practice delaying the synto injection for those first few >> minutes? Any evidence of harm in doing this? >> >> Thanks, >> Sue >> -- >> 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. > > __________ NOD32 1.1454 (20060321) Information __________ > > This message was checked by NOD32 antivirus system. > http://www.nod32.com > > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com
