Table 3

Reported management of the third stage of labour for Caesarean births

Obstetricians

n = 926 (%)


When is the prophylactic uterotonic drug usually given?

with delivery of the anterior shoulder

93

(10)

with delivery of the body

324

(35)

after birth of the baby, before cord clamping

203

(22)

after birth of the baby, after cord clamping

290

(31)

other*

9

(1)

no response

7

(< 1)

Which prophylactic uterotonic drug is usually used?

intravenous oxytocin

837

(90)

intramuscular Syntometrine®

82

(9)

other**

2

(< 1)

no response

5

(< 1)

For term births, when is the cord usually clamped?

immediately or within 10 seconds

509

(55)

within 10 - 20 seconds

227

(24)

within 20 - 30 seconds

80

(9)

within 30 - 60 seconds

77

(8)

after > 60 seconds

9

(1)

other

3

(< 1)

no response

21

(2)

For preterm births, when is the cord usually clamped?

immediately or within 10 seconds

396

(43)

within 10 - 20 seconds

180

(19)

within 20 - 30 seconds

127

(13)

within 30 - 60 seconds

150

(16)

after > 60 seconds

28

(3)

other

7

(1)

no response

38

(4)


*6 use intravenous oxytocin; 3 use both intramuscular oxytocin and Syntometrine®

**2 use intravenous infusion

cord milked then clamped n = 1; after cessation of pulsation n = 2

depends on situation n = 5; cord milked then clamped n = 1; after cessation of pulsation n = 1

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

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