Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Currently 3107 records
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Created on : 08 Jan 2018
Modified on : 11 Jan 2018

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Bibliographical entry (without author) :

Controlled cord traction for the third stage of labour

Author(s) :

Hofmeyr GJ, Mshweshwe NT, Gülmezoglu AM

Year of publication :

2015

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/25631379
https://doi.org/10.1002/14651858.CD008020.pub2

Résumé (français)  :

Abstract (English)  :

CCT has the advantage of reducing the risk of manual removal of the placenta in some circumstances, and evidence suggests that CCT can be routinely offered during the third stage of labour, provided the birth attendant has the necessary skills. CCT should remain a core competence of skilled birth attendants. However, the limited benefits of CCT in terms of severe PPH would not justify the major investment which would be needed to provide training in CCT skills for birth attendants who do not have formal training. Women who prefer a less interventional approach to management of the third stage of labour can be reassured that when a uterotonic agent is used, routine use of CCT can be omitted from the ’active management’ package without increased risk of severe PPH [post-partum hemorragia], but that the risk of manual removal of the placenta may be increased. Research gaps include the use of CCT in the absence of a uterotonic, and the place of uterine massage in the management of the third stage of labour.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Argument (English):

The limited benefits of controlled cord traction (CCT) in terms of severe post-partum hemorragia would not justify the major investment which would be needed to provide training in CCT skills for birth attendants who do not have formal training.

Argumento (português):

Argumento (español):

Keywords :

➡ midwifery training ; iatrogeny ; guidelines ; 3rd stage of labor ; postpartum hemorrhage ; midwife ; informed consent

Author of this record :

Alison Passieux — 08 Jan 2018
➡ latest update : Bernard Bel — 11 Jan 2018