Placental Blood Drainage as a Part of Active Management of Third Stage of Labour After Spontaneous Vaginal Delivery

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Active versus expectant management of the third stage of labour.

BACKGROUND Expectant management of the third stage of labour involves allowing the placenta to deliver spontaneously or aiding by gravity or nipple stimulation. Active management involves administration of a prophylactic oxytocic before delivery of the placenta, and usually early cord clamping and cutting, and controlled cord traction of the umbilical cord. OBJECTIVES The objective of this re...

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Active versus expectant management of third stage of labour.

BACKGROUND This study tested the hypotheses that active management of the third stage of labour lowers the rates of primary postpartum haemorrhage (PPH) and longer-term consequences compared with expectant management, in a setting where both managements are commonly practised, and that this effect is not mediated by maternal posture. BACKGROUND 1512 women judged to be at low risk of PPH (bloo...

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The Bristol third stage trial: active versus physiological management of third stage of labour.

OBJECTIVE To compare the effects on fetal and maternal morbidity of routine active management of third stage of labour and expectant (physiological) management, in particular to determine whether active management reduced incidence of postpartum haemorrhage. DESIGN Randomised trial of active versus physiological management. Women entered trial on admission to labour ward with allocation revea...

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Management of Spontaneous Vaginal Delivery.

Most of the nearly 4 million births in the United States annually are normal spontaneous vaginal deliveries. In the first stage of labor, normal birth outcomes can be improved by encouraging the patient to walk and stay in upright positions, waiting until at least 6 cm dilation to diagnose active stage arrest, providing continuous labor support, using intermittent auscultation in low-risk deliv...

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ژورنال

عنوان ژورنال: The Journal of Obstetrics and Gynecology of India

سال: 2016

ISSN: 0971-9202,0975-6434

DOI: 10.1007/s13224-016-0857-3