Re: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-15 Thread Michelle Windsor
, 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

Re: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-15 Thread Andrea Robertson
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

RE: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-14 Thread Isis Caple
@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

RE: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-14 Thread Tania Smallwood
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

Re: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-14 Thread Sue Cookson
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

Re: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-13 Thread Andrea Robertson
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

RE: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-13 Thread leanne wynne
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

RE: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-13 Thread LJG
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

RE: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-13 Thread leanne wynne
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

RE: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-13 Thread LJG
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

Re: [ozmidwifery] Delaying synto with active 3rd stage

2006-11-13 Thread Andrea Quanchi
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