© www.sarawickham.com This article first published 1999 Practising Midwife 2(10):14-15. Republished with permission for personal use only. Page numbers do not correspond to the original. Please do not reproduce/reprint without prior permission, thank you. The third stage of labour has, for some time, been one of the hottest clinical topics in midwifery. Although both of the major research studi...

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...

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...

BACKGROUND: Postpartum haemorrhage is a major cause of maternal death in underdeveloped countries like India, and to prevent and treat PPH is of major public health importance. AMTSL is a preventive measure and when practiced routinely, can reduce hemorrhage by up to 60 %. The aim of the present study was to evaluate the role of misoprostol in active management of the third stage of labour and ...

OBJECTIVES To systematically review the efficacy of misoprostol compared with placebo or other uterotonics in preventing maternal morbidity associated with the third stage of labor. METHODS We identified, retrieved, evaluated, abstracted data, and assessed the quality of all published studies (from January 1996 to May 2002) which assessed misoprostol's efficacy in minimizing uterine blood los...

OBJECTIVES a) To compare the clinical effect of rectal misoprostol with intramuscular syntometrine in reducing blood loss in the third stage of labour b) to determine the severity and incidence of side effects of both drugs and c) to measure blood loss, patient tolerance and acceptance of rectal misoprostol. METHODS One hundred and forty parturients were randomly allocated to receive intramus...

OBJECTIVES To study oxytocin, misoprostol, and methylergometrine in active management of the third stage of labor and determine duration of the third stage of labor, blood loss, adverse effects, and need for additional uterotonics in each group. METHODS Clinical trial of 300 women with healthy singleton pregnancy allocated into three groups to receive either: 10 IU intravenous oxytocin infusi...

conclusions: quality of peripartum care is moderate in lorestan province, therefore, continuous evaluation of quality of care by administrators and hospital staff is essential to improve this quality and will ultimately result in maternal and neonatal health improvement. results: the mean percentages of compatibility with desirable situation were 54%, 57% and 66% in first, second and third stag...

The present study to attempt to cultivate Angiostrongylus cantonensis from third-stage larvae (AcL3) to fourth-stage larvae (AcL4) in vitro in defined complete culture medium that contained with Minimum Essential Medium Eagle (MEM), supplemented amino acid (AA), amine (AM), fatty acid (FA), carbohydrate (CA) and 20% fetal calf serum (FCS) was successful. When AcL3 were cultured in the defined c...