11/06/2022
Did you know about the third stage of labour?
💉If you chose active management you will be offered a uterotonic drug - this helps maintain contractions and tone of the uterus. This is usually given by injection into your upper thigh as soon as your baby is born.
✂️The cord is usually clamped and cut between 1-5 minutes.
👩⚕️Once your care provider has observed signs the placenta has separated from the wall of the uterus (usually a gush of blood and the cord lengthens), your care provider will then gently pull on the cord until the placenta has delivered.
⌚In most cases the placenta will be born within 30 minutes.
It is associated with;
> nausea and vomiting in about 100 in 1,000 people
> an approximate risk of 13 in 1,000 of a haemorrhage of more than 1 litre
> an approximate risk of 14 in 1,000 of a blood transfusion
🍃If you chose a physiological management you will not be offered uterotonic drugs
🚫The cord is not clamped and cut until it has stopped pulsating
🤰The placenta is born by maternal effort only but you can support a physiological third stage by stimulating and nourishing those lovely birth hormones and using movement & gravity! Check out slide 6 for some tips!
⌚In most cases the placenta will be born within an hour
It is associated with;
> nausea and vomiting in about 50 in 1,000 people
> an approximate risk of 29 in 1,000 of a haemorrhage of more than 1 litre
> an approximate risk of 40 in 1,000 of a blood transfusion
🔄 You can decide to change to active management from physiological management
💕 There are a few reasons your care provider might advise you to have an actively managed third stage, these may include; having an induction, a BMI over 35, bleeding in pregnancy, a low lying placenta, a very low haemoglobin (iron level), a very quick or a very long labour.
👀 Keep your eyes on the grid! more info about the placenta and umbilical tomorrow 👀