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Table 3 Reported management of the third stage of labour for Caesarean births

From: Care during the third stage of labour: A postal survey of UK midwives and obstetricians

  Obstetricians
n = 926 (%)
When is the prophylactic uterotonic drug usually given?   
   with delivery of the anterior shoulder 93 (10)
   with delivery of the body 324 (35)
   after birth of the baby, before cord clamping 203 (22)
   after birth of the baby, after cord clamping 290 (31)
   other* 9 (1)
   no response 7 (< 1)
Which prophylactic uterotonic drug is usually used?   
   intravenous oxytocin 837 (90)
   intramuscular Syntometrine® 82 (9)
   other** 2 (< 1)
   no response 5 (< 1)
For term births, when is the cord usually clamped?   
   immediately or within 10 seconds 509 (55)
   within 10 - 20 seconds 227 (24)
   within 20 - 30 seconds 80 (9)
   within 30 - 60 seconds 77 (8)
   after > 60 seconds 9 (1)
   other 3 (< 1)
   no response 21 (2)
For preterm births, when is the cord usually clamped?   
   immediately or within 10 seconds 396 (43)
   within 10 - 20 seconds 180 (19)
   within 20 - 30 seconds 127 (13)
   within 30 - 60 seconds 150 (16)
   after > 60 seconds 28 (3)
   other 7 (1)
   no response 38 (4)
  1. *6 use intravenous oxytocin; 3 use both intramuscular oxytocin and Syntometrine®
  2. **2 use intravenous infusion
  3. cord milked then clamped n = 1; after cessation of pulsation n = 2
  4. depends on situation n = 5; cord milked then clamped n = 1; after cessation of pulsation n = 1