Prolongation of the Third Stage of Labor

The third stage of labor

Management of the Third Stage of Labor

Management of the third stage of labor has been an issue of discussion, concern, and continued debate for the past two decades. Despite the many strategies employed and the divergent approaches to care and philosophies espoused, there has not been a significant, consistent reduction in the postpartum hemorrhage rates reported in industrialized countries in recent times. This article explores th...

Comparing the Effect of Oxytocine with Normal Saline in the Umblical Cord on the Third Stage of Labor Duration

SUMMARY A prospective randomized double blind study was conducted to investigate the effect of oxytocine injection in the umbilical cord on the third stage of labor duration. 127 cases of normal vaginal delivery (with no signs of separation of placenta during the first five minutes of fetus delivery) were selected. The cases were divided into three groups. In the first group(40 cases) 30 ml of...

Misoprostol and active management of the third stage of labor.

OBJECTIVE To compare current practices for the active management of the third stage of labor (AMTSL) with the use of 600 mug of oral misoprostol. METHODS An operations research study was designed to compare blood loss with current AMTSL practices and misoprostol use. RESULTS Women in the misoprostol group were less likely to bleed 500 ml or more (adjusted odds ratio, 0.30; 95% confidence in...

Oral misoprostol in the third stage of labor.

OBJECTIVE To compare the efficacy of intravenous ergometrine, intramuscular oxytocin, and oral misoprostol in the control of postpartum hemorrhage. METHODS Mean blood loss, rates of blood loss between 500 and 1000 ml, hematocrit fall greater than 10%, and need for additional oxytocic agents and nature and rates of adverse effects were assessed in this prospective, randomized, controlled study...

Preventing postpartum hemorrhage: managing the third stage of labor.

Postpartum hemorrhage is a significant cause of maternal morbidity and mortality. Most postpartum hemorrhages are caused by uterine atony and occur in the immediate postpartum period. Expectant or physiologic management of the third stage of labor has been compared with active management in several studies. Active management involves administration of uterotonic medication after the delivery of...