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THIRD STAGE PRACTICES AND THE NEONATE

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  01 August 2009

CANDICE L DOWNEY  and
SUSAN BEWLEY
CANDICE L DOWNEY*
Affiliation:
King's College London, Strand, London WC2R 2 LS.
SUSAN BEWLEY
Affiliation:
Women's Services, Guy's and St Thomas’ NHS Foundation Trust, 10th floor North Wing, Westminster Bridge Rd, London SE1 7EH.
*
Candice L Downey, c/o Dr Susan Bewley, Women's Services, Guy's & St Thomas’ NHS Foundation Trust, 10th Floor, North Wing, Westminster Bridge Road, London SE1 7EH.
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Extract

The third stage of labour is defined as the period following the completed delivery of the newborn until the completed delivery of the placenta and its attached membranes. Whilst to the exhausted labouring woman this stage may be an afterthought, it is a crucial time for fetal-to-neonatal transition. Major changes in anatomy and physiology occur in both mother and baby. It has also been described as ‘potentially the most hazardous part of childbirth, largely due to the risk of postpartum haemorrhage (PPH) on placental separation. Despite this, the current management guidelines are based on an ‘eclectic combination of historical, anecdotal, philosophical and research-based factors.

Type
Research Article
Information
Fetal and Maternal Medicine Review , Volume 20 , Issue 3 , August 2009 , pp. 229 - 246
Copyright
Copyright © Cambridge University Press 2009

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