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

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Currently 3071 records
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Created on : 07 Jan 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Active management of the third stage of labor: Why is it controversial? Journal of Midwifery & Women’s Health 2004;49(1):2.

Author(s) :

Vivio D, Williams D.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

It is time to remove the label of “interventive medicine” from active management of the third stage of labor. The ICM-FIGO Joint Statement acknowledges the role of the pregnant woman in the decision making; thus, the option of practicing active management of the third stage of labor selectively is preserved. But, we do not have the option to discount the evidence and we must ensure that effective uterotonics are immediately available for all women in labor, even if not used routinely. For many years ACNM has promoted active management of the third stage of labor in our Life Savings Skills publications, and we sought prescriptive authority for midwives using the need to prevent post partum hemorrhage as a hard to dispute case study. A nurse-midwife researcher has helped redefine the steps in active management of the third stage of labor by documenting the immediate benefits of delayed cord clamping. A review of the evidence comparing active versus expectant management of the third stage of labor was also recently published in JMWH. Now, we are challenged to join the international community of midwives and physicians by accepting this standard of care that we know will save lives.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ duration of labour ; postpartum hemorrhage ; oxytocin ; active management of labor ; hormones

Author of this record :

Cécile Loup — 07 Jan 2004

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