Management of the third stage of labor: an evidence-based approach.

  title={Management of the third stage of labor: an evidence-based approach.},
  author={Mary C Brucker},
  journal={Journal of midwifery & women's health},
  volume={46 6},
The third stage of labor usually is eclipsed by the excitement of the birth of a baby. Evidence shows that management of this stage can directly influence important maternal outcomes such as blood loss, need for manual removal of the placenta, and postpartum hemorrhage. Most of the large trials have compared active management of the third stage to expectant management. Active management includes routine use of cord traction and uterotonins, whereas expectant management can be characterized as… CONTINUE READING


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