Dear ozmid list-ners
I have not been on the list for a while but have
a question that I would welcome your input on.
When performing active management of the third
stage, is it routine practice to await signs of placental separation
before commencing CCT, or to simply ascertain that there is uterine
contraction?
Also, what is the current recommendation for
management of retained placenta, or situations when the cord separates during
CCT?
I know this may sound odd, and I know what I was
taught and have practiced, but I am in the midst of a "difference of opinion"
and I need to check what are the actual guidelines given. I have
attempted to search this out myself but have not been able to find much in the
way of actual step-by-step instructions for active management of the third
stage.
With respect, I do not need to know people's
preferred methods or opinions on the rights and wrongs of active
management, simply the actual guidelines for active management and when
to commence CCT. I would be grateful if anyone can post this or lead me
to it. I have tried many sites on the net without success and do not
have easy access to up to date manuals.
Thank you in advance, I have been "off list" for
quite a while due to being very busy! Looking forward to listening in
again now that life is a bit quieter.
Susan
Cudlipp