Table 1 Polices for care during the third stage of labour for vaginal and caesarean births†
From: Policies for care during the third stage of labour: a survey of maternity units in Syria
Vaginal births n = 66 (%) | Caesarean births n = 60 (%) | |||
|---|---|---|---|---|
Use of a prophylactic uterotonic drug | ||||
How often is a prophylactic uterotonic used? | ||||
always/usually | 61 | (92) | 56 | (93) |
sometimes | 4 | (6) | 3 | (5) |
Rarely | - | - | - | - |
Never | 1 | (2) | 1 | (2) |
Which uterotonic is usually used?* | ||||
Syntometrine‡ | 45 | (68) | 40 | (67) |
ergometrine | 13 | (20) | 8 | (13) |
oxytocin | 7 | (11) | 9 | (15) |
Syntometrine‡ + misoprostol | - | - | 2 | (3) |
When is the uterotonic drug usually administered?* | ||||
with the anterior shoulder | - | - | - | - |
with delivery of the body | 4 | (6) | 1 | (2) |
after birth of baby, before cord clamping | 1 | (2) | - | - |
after birth of baby, after cord clamping | - | - | 11 | (18) |
after delivery of the placenta | 60 | (91) | 47 | (78) |
Umbilical cord clamping | ||||
When is the cord usually clamped? | ||||
within 20 seconds | 42 | (64) | 45 | (75) |
after 20 seconds - 1 minute | 20 | (30) | 13 | (22) |
after 1-3 minutes | 2 | (3) | 1 | (2) |
after >3 minutes | 1 | (2) | - | - |
after cessation of pulsation | 1 | (2) | 1 | (2) |
After cutting the cord, is the clamp released to drain the placenta? | ||||
always/usually | 4 | (6) | 1 | (2) |
sometimes | 7 | (11) | 3 | (5) |
Rarely | 6 | (9) | 4 | (7) |
Never | 49 | (74) | 52 | (87) |
Is controlled cord traction used? | ||||
always/usually | 29 | (44) | 18 | (30) |
sometimes | 14 | (21) | 8 | (13) |
Rarely | 6 | (9) | 2 | (3) |
never | 17 | (26) | 32 | (53) |