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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)