Background and aim: Postpartum haemorrhage remains one of the main leading causes of maternal mortality across the world. This is despite a wide-spread coverage of active third stage of labour care in many countries.  Reflecting on emerging evidence in this context, a discussion of associated factors which should be considered in interpretation of the evidence and its implications is presented ...

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...

Introduction Concerns exist regarding the suitability of national and international guidance informing third stage labour care for women at low risk postpartum haemorrhage. Methods The robustness appropriateness research evidence underpinning by institutions such as National Institution Health Care Excellence, Royal College Obstetricians Gynaecologists Midwives was assessed areas further to add...