, 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
From: Sue Cookson [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
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
@acegraphics.com.au
Subject: RE: [ozmidwifery] Delaying synto with active 3rd stage
Sue,
You really need to decide whether your patient wishes for an active or a
physiological third stage. It can be dangerous to try and do a half-half
sort of third stage.
If you plan a physiological third stage then you need
Just going from a very faded memory from
my Mid education, but wasnt it the Hinchinbrook trial that outlined the
dangers of mixing the two practices? I know it was seen as a flawed and dated
trial, with dubious parameters of normal and of what physiological actually
meant, but if someone
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
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
Sue,
You really need to decide whether your patient wishes for an active or a
physiological third stage. It can be dangerous to try and do a half-half
sort of third stage.
If you plan a physiological third stage then you need to:
1. Dont clamp or cut the cord until it stops pulsating.
2. Put
Sue that's how I do most of mine...don't give the oxytocic with the anterior
shoulderand it's usually some minutes before I 'get' around to it!!!
There is a wide variation of practice isn't there...it is one of those
things that we have always been led to believe i.e if you don't give that
From: leanne wynne [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Delaying synto with active 3rd stage
Date: Tue, 14 Nov 2006 11:27:11 +1100
Sue,
You really need to decide whether your patient wishes for an active
November 2006 3:12 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Delaying synto with active 3rd stage
I should add that a physiological third stage is the natural progression
from a normal labour.
However if the woman has had a labour influenced by IOL, augmentation and
directed
Where I work when I am not being a MIPP we leave the cord until it
has stopped pulsating, or the mother asks for it to be cut and then
we give the synt after it has been clamped. Our PPH rate is not
noticeably higher
Put it this way we have the usual conservative GPs and they do not
object
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