--- Original Message
From: Sue Cookson <[EMAIL PROTECTED]>
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, 15 November, 2006 8:17:06 AM
Subject: Re: [ozmidwifery] Delaying synto with active 3rd stage
Hi Andrea,
I am not aware of the practice you have mentioned in America. Have you
an
day, 15 November, 2006 8:17:06 AM
Subject: Re: [ozmidwifery] Delaying synto with active 3rd stage
Hi Andrea,
I am not aware of the practice you have mentioned in America. Have you
any references for this?
Any idea what occurs if the placenta takes longer to arrive than the 20
minutes or so??
Hi Andrea,
I am not aware of the practice you have mentioned in America. Have you
any references for this?
Any idea what occurs if the placenta takes longer to arrive than the 20
minutes or so??
Sue
Hello Sue,
The question of third stage management has a cultural aspect as well.
In the US,
Just going from a very faded memory from
my Mid education, but wasn’t it the Hinchinbrook trial that outlined the
dangers of mixing the two practices? I know it was seen as a flawed and dated
trial, with dubious parameters of ‘normal’ and of what ‘physiological’ actually
meant, but if some
ifery@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 stag
Where I work when I am not being a MIPP we leave the cord until it
has stopped pulsating, or the mother asks for it to be cut and then
we give the synt after it has been clamped. Our PPH rate is not
noticeably higher
Put it this way we have the usual conservative GPs and they do not
object
November 2006 3:12 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Delaying synto with active 3rd stage
I should add that a physiological third stage is the natural progression
from a normal labour.
However if the woman has had a labour influenced by IOL, augmentation and
directed
Service Mob 0418 371862
From: "leanne wynne" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Delaying synto with active 3rd stage
Date: Tue, 14 Nov 2006 11:27:11 +1100
Sue,
You really need to decide whe
matter of time (I hope) before we'll be
delaying the synto and the cord clamping because of the "dangers"
Lisa
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sue Cookson
Sent: Tuesday, 14 November 2006 10:00 AM
To: ozmidwifery@acegra
ocess!
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]
Hello Sue,
The question of third stage management has a cultural aspect as well.
In the US, as far as I know, the syntometrine is not given until
after the placenta arrives. It is then given to prevent excessive
bleeding. Interesting to speculate on how this major difference
developed, and
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
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