Well that's what we've always been led to believe, but it's not a one way system is it? So if you are using syntocinon (not syntometrine where the contraction is much stronger and more sustained) why won't the baby regulate it's own blood volume? I am speaking from hospital experience where active is the norm and where in some births the cord is clamped so quickly even before the kid has taken a gasp! And funnily enough we do actually have women who have 'unmanaged' first/second stages and opt for active third stages..so why not wait for a bit before giving the oxytocic and clmaping...this is what I see no harm in..and am aware of the need to not mix methods i.e cct with physiological Lisa
Why would you do that Lisa? if you give an oxytocic you get a surge of blood through the cord. The uterus contracts within 3 mins Syntocinon 7/9 mins ergometrine. The Placenta should be sheared off the wall within minutes. If you want the cord to stop pulsating in a well new born surely the way to go is a physiological third stage. Half way house between both is a recipe for disaster . Physiological first and second stage = physiological third stage. Managed first and second stage= active third stage. Lisa Barrett ----- Original Message ----- From: "LJG" <[EMAIL PROTECTED]> To: <ozmidwifery@acegraphics.com.au> Sent: Tuesday, November 14, 2006 12:26 PM Subject: [ozmidwifery] Delaying synto with active third stage Hi Sue this is something I have always been interested in....the link is to the FIGo/ICM Joint statement on active third stage and it states you can leave the cord in a well newborn to stop pulsating...and then cut; this is with giving the oxytocic at birth...... http://www.sogc.org/guidelines/public/136E-JPS-November2003.pdf There was also a paper on delayed cord clamping and its benefits in the BMJ a few weeks back.....it sites the above statement and promotes a delay in cord clamping even in active third stage Regards Lisa -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
