Labor Stage, Third

Publication Title: 
Journal of Midwifery & Women's Health

The third stage of labor usually is eclipsed by the excitement of the birth of a baby. Evidence shows that management of this stage can directly influence important maternal outcomes such as blood loss, need for manual removal of the placenta, and postpartum hemorrhage. Most of the large trials have compared active management of the third stage to expectant management. Active management includes routine use of cord traction and uterotonins, whereas expectant management can be characterized as one of watchful waiting.

Brucker, M. C.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: There are several Cochrane systematic reviews looking at postpartum haemorrhage (PPH) prophylaxis in the third stage of labour and another Cochrane review investigating the timing of prophylactic uterotonics in the third stage of labour (i.e. before or after delivery of the placenta). There are, however, no Cochrane reviews looking at the use of interventions given purely after delivery of the placenta.

Yaju, Yukari
Kataoka, Yaeko
Eto, Hiromi
Horiuchi, Shigeko
Mori, Rintaro
Publication Title: 
Obstetrical & Gynecological Survey

The objective of this review was to evaluate the efficacy and safety of carbetocin in the prevention of postpartum hemorrhage. All trials found during a targeted Medline and Cochrane database search were screened for eligibility.

Peters, Nina C. J.
Duvekot, Johannes J.
Publication Title: 
Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstétrique et gynécologie du Canada: JOGC

OBJECTIVE: To review the clinical aspects of postpartum hemorrhage (PPH) and provide guidelines to assist clinicians in the prevention and management of PPH. These guidelines are an update from the previous Society of Obstetricians and Gynaecologists of Canada (SOGC) clinical practice guideline on PPH, published in April 2000.

Leduc, Dean
Senikas, Vyta
Lalonde, André B.
Ballerman, Charlotte
Biringer, Anne
Delaney, Martina
Duperron, Louise
Girard, Isabelle
Jones, Donna
Lee, Lily Shek-Yun
Shepherd, Debra
Wilson, Kathleen
Clinical Practice Obstetrics Committee
Society of Obstetricians and Gynaecologists of Canada
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