Table 1

Reported management of the third stage of labour for vaginal births

Midwives

n = 1297 (%)

Obstetricians

n = 926 (%)


How often do you use active management for the third stage?

always or usually

942 (73)

863 (93)

sometimes

291 (22)

60 (6)

rarely

60 (5)

1 (< 1)

never

4 (< 1)

-

no response

-

2 (< 1)

When you use active management

When is the prophylactic uterotonic drug usually given?

with delivery of the anterior shoulder

430 (33)

611 (66)

with delivery of the body

211(16)

162 (17)

after birth of the baby, before cord clamping

365 (28)

68 (7)

after birth of the baby, after cord clamping

261 (20)

72 (8)

timing varies

24 (2)

7 (1)

no response/never use active management

6 (< 1)

6 (1)

Which prophylactic uterotonic drug is usually used?

intramuscular oxytocin

172 (13)

186 (20)

intramuscular syntometrine®

1118 (86)

728 (79)

other

1 (< 1)

9 (1)

no response/never use active management

6 (< 1)

3 (< 1)

How often do you use controlled cord traction?

always or usually

1214 (94)

868 (94)

sometimes

57 (4)

49 (5)

rarely

19 (1)

6 (1)

never

3 (< 1)

3 (1)

do not use active management

4 (< 1)

-

How often do you use physiological management for the third stage?

always or usually

121 (9)

21 (2)

sometimes

606 (47)

120 (13)

rarely

476 (37)

431 (47)

never

92 (7)

350 (38)

no response

2 (< 1)

4 (< 1)

Usually record timing of cord clamping

182 (14)

23 (3)


Farrar et al. BMC Pregnancy and Childbirth 2010 10:23   doi:10.1186/1471-2393-10-23

Open Data