Active versus expectant management for women in the third stage of labour
Información
- DOI:
- https://doi.org/10.1002/14651858.CD007412Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 08 octubre 2008see what's new
- Tipo:
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- Intervention
- Etapa:
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- Protocol
- Grupo Editorial Cochrane:
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Grupo Cochrane de Embarazo y parto
- Copyright:
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- Copyright © 2010 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Cifras del artículo
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Autores
Contributions of authors
Cecily Begley drafted the background section and all other authors contributed to editing the text. All authors contributed to the drafting of the inclusion criteria for the review. Gill Gyte and Declan Devane added the methodology section with other authors commenting.
Sources of support
Internal sources
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(GG) The University of Liverpool, UK.
External sources
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(GG) National Institute for Health Research, UK.
NIHR NHS Cochrane Collaboration Programme Grant Scheme award for NHS‐prioritised centrally‐managed, pregnancy and childbirth systematic reviews: CPGS02
Declarations of interest
Cecily Begley was the lead researcher on the 'Dublin trial', one of the trials included in the previous review (Prendiville 2000).
Sue McDonald was a member of the previous review team and has written extensively on third stage management.
Gillian Gyte has written extensively on third stage management.
Acknowledgements
We acknowledge the work of the previous review team, upon which this protocol has been based (Prendiville 2000).
As part of the pre‐publication editorial process, this protocol has been commented on by three peers (an editor and two referees who are external to the editorial team), a member of the Pregnancy and Childbirth Group's international panel of consumers and the Group's Statistical Adviser.
Version history
| Published | Title | Stage | Authors | Version |
| 2019 Feb 13 | Active versus expectant management for women in the third stage of labour | Review | Cecily M Begley, Gillian ML Gyte, Declan Devane, William McGuire, Andrew Weeks, Linda M Biesty | |
| 2015 Mar 02 | Active versus expectant management for women in the third stage of labour | Review | Cecily M Begley, Gillian ML Gyte, Declan Devane, William McGuire, Andrew Weeks | |
| 2011 Nov 09 | Active versus expectant management for women in the third stage of labour | Review | Cecily M Begley, Gillian ML Gyte, Declan Devane, William McGuire, Andrew Weeks | |
| 2010 Jul 07 | Active versus expectant management for women in the third stage of labour | Review | Cecily M Begley, Gillian ML Gyte, Deirdre J Murphy, Declan Devane, Susan J McDonald, William McGuire | |
| 2008 Oct 08 | Active versus expectant management for women in the third stage of labour | Protocol | Cecily M Begley, Declan Devane, Deirdre J Murphy, Gillian ML Gyte, Susan J McDonald, William McGuire | |
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
- Birth Weight;
- Constriction;
- Delivery, Obstetric [adverse effects, *methods];
- Jaundice, Neonatal [therapy];
- Labor Stage, Third [*physiology];
- Oxytocics [*administration & dosage, adverse effects];
- Placenta;
- Postpartum Hemorrhage [*prevention & control];
- Randomized Controlled Trials as Topic;
- *Watchful Waiting;
Medical Subject Headings Check Words
Female; Humans; Infant, Newborn; Pregnancy;
PICO
| Terms | Definitions used in this review | ||||||
| Expectant management of third stage of labour | 1. A prophylactic uterotonic agent is not administered; | ||||||
| Active management of third stage of labour | 1. The routine administration of a prophylactic uterotonic drug just before, with, or immediately after, the birth of the baby; | ||||||
| Mixed management of third stage of labour | A mixture of some of the components of both active and expectant management of third stage, but without exclusively containing all the components of either. There can be a number of different mixed third stage managements, for example: | ||||||
| Early prophylactic uterotonic | Prophylactic uterotonic drug administered just before, with, or immediately after, the birth of the infant. | ||||||
| Delayed prophylactic uterotonic | Prophylactic uterotonic drug administered after the cord pulsation has ceased. | ||||||
| Early cord claming | The application of a clamp to the umbilical cord within 60 seconds of the birth of the infant (McDonald 2008). | ||||||
| Delayed cord clamping | The application of a clamp to the umbilical cord greater than one minute after birth or when cord pulsation has ceased (McDonald 2008). | ||||||
| Sarnat staging for hypoxic ischaemic encephalopathy (Sarnat 1976) | Stage 1 (mild): hyperalertness, hyper‐reflexia, dilated pupils, tachycardia, absence of seizures. Stage 2 (moderate): lethargy, hyper‐reflexia, miosis, bradycardia, seizures, hypotonia with weak suck and Moro reflexes. Stage 3 (severe): stupor, flaccidity, small to midposition pupils which react poorly to light, decreased stretch reflexes, hypothermia and absent Moro. | ||||||
