Table 1 Reported management of the third stage of labour for vaginal births
From: Care during the third stage of labour: A postal survey of UK midwives and obstetricians
Midwives n = 1297 (%) | Obstetricians n = 926 (%) | |
|---|---|---|
How often do you use active management for the third stage? | ||
always or usually | 942 (73) | 863 (93) |
sometimes | 291 (22) | 60 (6) |
rarely | 60 (5) | 1 (< 1) |
never | 4 (< 1) | - |
no response | - | 2 (< 1) |
When you use active management | ||
When is the prophylactic uterotonic drug usually given? | ||
with delivery of the anterior shoulder | 430 (33) | 611 (66) |
with delivery of the body | 211(16) | 162 (17) |
after birth of the baby, before cord clamping | 365 (28) | 68 (7) |
after birth of the baby, after cord clamping | 261 (20) | 72 (8) |
timing varies | 24 (2) | 7 (1) |
no response/never use active management | 6 (< 1) | 6 (1) |
Which prophylactic uterotonic drug is usually used? | ||
intramuscular oxytocin | 172 (13) | 186 (20) |
intramuscular syntometrine® | 1118 (86) | 728 (79) |
other | 1 (< 1) | 9 (1) |
no response/never use active management | 6 (< 1) | 3 (< 1) |
How often do you use controlled cord traction? | ||
always or usually | 1214 (94) | 868 (94) |
sometimes | 57 (4) | 49 (5) |
rarely | 19 (1) | 6 (1) |
never | 3 (< 1) | 3 (1) |
do not use active management | 4 (< 1) | - |
How often do you use physiological management for the third stage? | ||
always or usually | 121 (9) | 21 (2) |
sometimes | 606 (47) | 120 (13) |
rarely | 476 (37) | 431 (47) |
never | 92 (7) | 350 (38) |
no response | 2 (< 1) | 4 (< 1) |
Usually record timing of cord clamping | 182 (14) | 23 (3) |