Study on PPH rates:active management vs. midwifery care
+ Reply to Thread
Results 1 to 4 of 4

Thread: Study on PPH rates:active management vs. midwifery care

  1. #1
    Posting Addict MrsMangoBabe's Avatar
    Join Date
    Apr 2007
    Location
    Oklahoma City
    Posts
    5,399

    Default Study on PPH rates:active management vs. midwifery care

    I have a blog post scheduled later today with the news of this study, but I wanted to share it here, too. Previous research has compared active management with doing nothing during third stage, only in hospital settings, and probably with many "standard" hospital protocols in place, and has found active management to be associated with lower postpartum hemorrhage rates than the hospital version of expectant management, but PPH rates with how midwives do expectant management in out-of-hospital settings haven't been studied before. This study found that for low-risk women, when midwife-supported holistic physiological 3rd stage management is compared with active management, the PPH rate for the active management group was significantly higher (11.5%) than the physiological method (1.7%).

    Holistic physiological care compared with active management of the third stage of labor for women at low risk for postpartum hemorrhage
    -Brittany
    Doula, Childbirth Educator, and Mom to three adorable troublemakers
    Two time joyful Hypnobabies natural birthing mom
    My blog: Birth Unplugged

  2. #2
    Posting Addict
    Join Date
    Mar 2008
    Location
    In the mitten!
    Posts
    9,503

    Default

    hmmmmm.... adding things to my birth plan.... no, wait.... computer crashed yesterday. Starting new birth plan....
    ~Jenni~
    Lilypie Third Birthday tickers
    Lilypie First Birthday tickers

  3. #3
    Posting Addict MrsMangoBabe's Avatar
    Join Date
    Apr 2007
    Location
    Oklahoma City
    Posts
    5,399

    Default

    The tough thing about natural third stage is that it is conditional on not having your baby taken away--if they take the baby off your chest, you can't count on expectant management to work. And unfortunately, in my experience, bait-and-switch is really common with delayed cord clamping in hospitals--there is always some excuse for why they have to cut the cord and take the baby to the warmer.
    -Brittany
    Doula, Childbirth Educator, and Mom to three adorable troublemakers
    Two time joyful Hypnobabies natural birthing mom
    My blog: Birth Unplugged

  4. #4
    Mega Poster mandora's Avatar
    Join Date
    Jul 2007
    Location
    ontario
    Posts
    4,681

    Default

    Not surprising at all. Thanks for sharing - I'll be passing this along to clients/health care providers I encounter.

    It's a hot topic in my area.
    ~Manda~
    Married to Mark 05.25.07
    DD Stella Gabrielle - 12.31.07
    DS Sebastien David - 01.06.09
    DD Selene 'Lilu' Katherine Alice 03.16.11



    Homebirthing, breastfeeding, attachment parenting momma

+ Reply to Thread

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
v -->

About Us | Contact Us | Privacy Policy | Sitemap | Terms & Conditions