Choose your font:
 Arimo
 Merriweather
 Mukta Malar
 Open Sans Condensed
 Rokkitt
 Source Sans Pro
 Login


 English 
 Français 
 Português 
 Español 

[Valid RSS] RSS
bar

Database - (CIANE)

Description of this bibliographical database (CIANE website)
Currently 3111 records
YouTube channel (tutorial)

https://ciane.net/id=2719

Created on : 12 May 2016
Modified on : 12 May 2016

 Modify this record
Do not follow this link unless you know an editor’s password!


Share: Facebook logo   Tweeter logo   Easy

Bibliographical entry (without author) :

Towards a physiological management of the third stage that prevents postpartum haemorrhage (PDF Download Available) - Midwifery Digest - Vol. 20, 3 - p.248-51

Author(s) :

Slome Cohain, Judy

Year of publication :

2010

URL(s) :

https://www.researchgate.net/publication/281363274…

Résumé (français)  :

Abstract (English)  :

Postpartum haemorrhage (PPH) rates for low-risk women having vaginal births in the Western world are reported as 5% (500ml), 1% (>1000ml), and 1% of women receiving blood transfusions as a result of these events. While it could be argued that these are accepted by-products of birth, there is a need to question why both active and expectant management appear to show no reduction in those rates and whether this is because speed of placental delivery is the critical factor that has not been emphasised. Active management causes PPH because of increased manual removal rates and expectant management causes increased atony by delaying
placental delivery. Where there is greater acknowledgement that a shorter third stage results in a
lower PPH rate, this leads to reappraisal of third stage management. The knowledge that the vast majority of
placentas deliver in five minutes was seemingly forgotten during the period of putting women under anaesthesia
during delivery. Waiting for signs of separation causes unnecessary delay in third stage, thereby increasing the
PPH rate. A protocol was devised based on timing the actions and non actions necessary at three, four and five
minutes from the birth for delivery of the placenta using a squatting position. This idea was born out of an attempt to eliminate PPH, based on the logic that vaginal delivery of a placenta weighing one kilo requires maternal effort, not passivity. In my practice, 350 consecutive attended homebirths resulted in a 0.6% PPH rate (500ml ), which compares favourably to the published PPH rates of other third stage protocols.
Towards a physiological management of the third stage that prevents postpartum haemorrhage (PDF Download Available). Available from: https://www.researchgate.net/publication/281363274_Towards_a_physiological_management_of_the_third_stage_that_prevents_postpartum_haemorrhage [accessed Apr 14, 2016].

Sumário (português)  :

Resumen (español)  :

Full text (private) :

 ➡ Access requires authorization

Comments :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ 3rd stage of labor ; planned homebirth

Author of this record :

Import 12/05/2016 — 12 May 2016
➡ latest update : Bernard Bel — 12 May 2016

Discussion (display only in English)
 
➡ Only identified users



 I have read the guidelines of discussions and I accept all terms (read guidelines)

barre

New expert query --- New simple query

Creating new record --- Importing records

User management --- Dump database --- Contact

bar

This database created by Alliance francophone pour l'accouchement respecté (AFAR) is managed
by Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting CIANE (see below)
(3) or joining any society affiliated with CIANE.
Sign in or create an account to follow changes or become an editor.
Contact bibli(arobase)ciane.net for more information.

Valid CSS! Valid HTML!
Donating to CIANE (click “Faire un don”) will help us to maintain and develop sites and public
databases towards the support of parents and caregivers’ informed decisions with respect to childbirth