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I talk
to the women, give the balances info and comment that O prefer not to give it. I
have found that it has only been when I have given synto that I have trouble
with 3rd stage. Recently was with a woman, no blood loss at birth, I only
recognised separation because the cord lengthened and the fundus rose. Placenta
slipped out. On the other hand I have witnessed massive blood loss over
2500mls. Maureen
Hi Denise,
I actually talked about
this topic and informed choice in an essay for one of my subjects at the
beginning of the year (for the Grad. Dip. of Mid.), in which i did quite well
in. Where I have done my placements this year and will work next year as a
grad (rural Victoria), the management of third stage is only touched upon in
antenatal classes, and women are given a clear indication of which method is
preferable. No detail is given as to what physiological third stage involves.
When the time comes after the birth of the baby, consent is assumed rather
than sought and the women are told 'here's a little injection i'm going to
give in your leg now to help the placenta come away.' It seems as though it is
presumed that women choose to have active management of third stage because
they choose to have their baby in this hospital. The only cases i have
witnessed where synt is not given is where the woman is well educated and
informed and states on her birth plan, on arrival to the ward, and after
the birth of her baby, that she does not want an active third
stage.
Regards
Kristy
Dear Ozmid list,
I need to know or get some feedback about the
prevelance of physiological third stage in Australia.
That is are women being offered the option of
birthing their placentas with out an oxytocic injection in Australain
hospitals
and is it standard practice to give women
informed choice about this in homebirths (as I understand it)
Personal expereinces of situations and protocols would be
appreciated
Thank you
Denise
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