Wouldn't a truly physiological third stage involve waiting till the placenta is birthed before clamping/cutting the cord?
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of leanne wynne Sent: Tuesday, 14 November 2006 11:27 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Delaying synto with active 3rd stage Sue, You really need to decide whether your patient wishes for an active or a physiological third stage. It can be dangerous to try and do a "half-half" sort of third stage. If you plan a physiological third stage then you need to: 1. Dont clamp or cut the cord until it stops pulsating. 2. Put the baby to the breast as soon as possible, this will stimulate oxytocin release which works better than 10units Syntocinon ever does! 3. Allow the placenta time to separate without pulling on the cord. 4. If the woman is upright gravity will help, sitting on the toilet usually works well. 5. Wait until the woman feels some afterbirth pains, then suggest she gives a little "push" 6. Always observe for excessive bleeding but dont confuse that initial gush which indicates the placenta is separating with excesive blood loss. 7. Be patient, have faith in the normal process! All the best, Leanne. Leanne Wynne Midwife in charge of "Women's Business" Mildura Aboriginal Health Service Mob 0418 371862 >From: Sue Cookson <[EMAIL PROTECTED]> >Reply-To: ozmidwifery@acegraphics.com.au >To: ozmidwifery@acegraphics.com.au >Subject: [ozmidwifery] Delaying synto with active 3rd stage >Date: Tue, 14 Nov 2006 11:00:25 +1100 > >Hi, >I'm interested if there is any research on delaying synto for say up to 5 >minutes in 'active 3rd stage'. >Have been doing actively managed third stage throughout my clinical >placements as a student (nearly finished!!) with some practitioners cutting >the cord immediately, and most at about 10 - 20 seconds. >I've just prepared a powerpoint presentation on delayed cord clamping but >know I will get into a discussion around the seeming conflict between >active 3rd stage and delaying the clamping. Obviously if you don't want the >effects of synto's action - strong uterine contraction with excess blood >being pumped into bub, then you need to delay the entire process of >actively managed 3rd stage until the cord is clamped. > >Does anyone practice delaying the synto injection for those first few >minutes? Any evidence of harm in doing this? > >Thanks, >Sue >-- >This mailing list is sponsored by ACE Graphics. >Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. _________________________________________________________________ Advertisement: Fresh jobs daily. Stop waiting for the newspaper. Search now! www.seek.com.au http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau&_t =757263760&_r=Hotmail_EndText_Nov06&_m=EXT -- 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.
