I FOUND IT HERE. REGARDS FIONA
http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_264.pdf
- Original Message -
From:
Nicole Hmelnitsky
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, February 23, 2005 4:48
PM
Subject: [ozmidwifery] active management
type in postpartum hamorrhage in the search box,
there is only one selection,click it, then click on the large
policy/directives logo - I found it after a few tries.
Sue Cudlipp
- Original Message -
From:
Sue
Cookson
To: ozmidwifery@acegraphics.com.au
Sent:
WITH REGARDS TO THE RESEARCH THAT SUBSTANTIATES THE
CLAIMS THAT ACTIVE MANAGEMENT IS SAFER THAN PHYSIOLOGICAL MANGAEMENT OF THIRD
STAGE,
DOES ANYONE KNOW IF THERE HAVE BEEN ANY
STUDIES COMPARING PHYSIOLOGICAL WHOLE OF LABOUR AND BIRTH WITH ACTIVE MANAGEMENT
OF THIRD STAGE FOLLOWING MANAGED
Ihaven't heard ofa study of this type beingb done. I find it interesting that the NSW policy (similar to many others) of PPH is over 500ml, and yet the WHO states that in healthy populations (ie not anaemic etc) up to 1000ml blood loss may be physiological. It isoften said that blood loss at birth
Well done Pinky:)
Regards
Alesa
Hi Barb - you will be proud of me- I have called
John and am being sent teh apllication pack for LC exam and have booked into
Maureens course which starts next week -I am on the roller coaster
sothere is no turning back or slacking off now!
No idea except 'soon' , Joanne
Myra Parsons, the midwife concerned will let us all know as soon as the producer tells her
Jan
Jan Robinson Independent Midwife Practitioner
National Coordinator Australian Society of Independent Midwives
8 Robin Crescent South Hurstville NSW 2221
Good point Michelle. If we used 1000ml as PPH
definition the stats would not look so appealing for active mgmt. Also as
someone stated women having a physiological 3 stage tend to lose more in the
first few hours after birth than those having active mgmt. As far as I am aware
no-one has
I wonder if it we would all be more "honest" if we said that, in the main,
we really only measure that blood loss within the immediate post partum couple
of hours. ie while in delivery suite, or before the midwife goes home 2-3
hrs after the birth.I realise that if a woman continues to
