Document Detail

Active versus expectant management of the third stage of labor and implementation of a protocol.
MedLine Citation:
PMID:  20697238     Owner:  NLM     Status:  MEDLINE    
Although the focus at delivery may naturally shift to infant transition, continued maternal vigilance during stage 3 is imperative to accomplish a safe outcome for the mother and her newborn. The third stage of labor is a normal physiological progression of birth that may be compounded by serious complications. The most common complication is postpartum hemorrhage due to uterine atony. Clinicians choose either active management or expectant management for stage 3 to prevent excessive maternal blood loss. Rapid identification and response to a postpartum hemorrhage are critical. A multidisciplinary perinatal team at a large Midwest tertiary center led the transition from an expectant to an active-management protocol within the obstetric service. Outcomes included a decrease in the postpartum hemorrhage rate and decreased usage of additional uterotonic medications during the immediate recovery period.
Carol Burke
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of perinatal & neonatal nursing     Volume:  24     ISSN:  1550-5073     ISO Abbreviation:  J Perinat Neonatal Nurs     Publication Date:    2010 Jul-Sep
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801387     Medline TA:  J Perinat Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  215-28; quiz 229-30     Citation Subset:  N    
Northwestern Memorial Hospital, Chicago, Illinois 60611, USA.
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MeSH Terms
Critical Pathways / organization & administration*
Delivery, Obstetric / methods
Infant, Newborn
Labor Stage, Third*
Midwestern United States
Neonatal Nursing / organization & administration*
Nursing Assessment / methods
Oxytocics / administration & dosage
Postpartum Hemorrhage / nursing*,  prevention & control*
Practice Guidelines as Topic
Research Design
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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