RE: [ozmidwifery] question

[Michelle Windsor]

Hi Susan,

 

I'm not sure if this helps but this is what we were told at the ALSO (Advanced Life Support in Obstetrics) course I went to in 2003.  They recommended that there is either total active management or total physiological management of the third stage.  Active management meant synto given with the anterior shoulder, early cord clamping, then CCT immediately after clamping the cord.  I haven't actually got the workbook here with me to give you more detail but that is what they were recommending.

 

Cheers

Michelle

Ken WArd <[EMAIL PROTECTED]> wrote:

You must wait for placental separation, otherwise you risk inverting the uterus    Maureen

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Susan Cudlipp
Sent: Wednesday, 9 February 2005 2:55 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] question

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

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