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Care in the third stage of labour

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Abstract

This chapter discusses my involvement in research concerning care in the third stage of labour, leading up to the Bristol third-stage trial (Prendiville et al., 1988), and its aftermath. Although the perspective is personal, I hope my experience of how decisions about research priorities were arrived at, about which research methods were used, and about the interface between research and policy and practice, has wider relevance for researchers with different backgrounds, and for areas other than the third stage of labour.

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References

  • Begley, C.M. (1990a) A comparison of ‘active’ and ‘physiological management of third stage of labour. Midwifery, 6, 3–17.

    Article  PubMed  CAS  Google Scholar 

  • Begley, C.M. (1990b) The effect of ergometrine on breast feeding. Midwifery, 6 (2), 60–72.

    Article  PubMed  CAS  Google Scholar 

  • Brant, H.A. (1966) Blood loss at caesarean section.,Journal of Obstetrics and Gynaecology of the British Commonwealth, 73, 456–7.

    Article  CAS  Google Scholar 

  • Brant. H.A. (1967) Precise stimulation of post-partum haemorrhage difficulties and importance. British Medical Journal, i, 398–400.

    Google Scholar 

  • Bullough, C., Msuku R.S. and Karonde, L. (1989) Early suckling and postpartum haemorrhage: controlled trial in deliveries by traditional birth attendants. Lancet, ii, 522–5.

    Google Scholar 

  • Chalmers, I. (ed.) (1989) Oxford Database of Perinatal Trials. Oxford Electronic Publishing, Oxford.

    Google Scholar 

  • Elbourne, D.R. (1993a) Active vs conservative 3rd stage management. In Enkin, M., Keirse, M.J.N.C., Renfrew, M. and Neilson, J.P. (eds), Cochrane Database of Systematic Reviews. Review No. 5352. Cochrane Updates on Disc. Oxford.

    Google Scholar 

  • Elbourne, D.R. (1993b) Active vs conservative 3rd stage management: low risk women. In Enkin, M., Keirse, M.J.N.C., Renfrew, M. and Neilson, J.P. (eds), Cochrane Database of Systematic Reviews. Review No. 5353. Cochrane Updates on Disc. Oxford.

    Google Scholar 

  • Elbourne, D.R. (1993c) Early umbilical cord clamping in third stage of labour. In Enkin, M., Keirse, M.J.N.C., Renfrew, M. and Neilson, J.P (eds), Cochrane Database of Systematic Reviews. Review No. 3818. Cochrane Updates on Disc, Oxford.

    Google Scholar 

  • Elbourne, D.R. (1993d) Cord traction vs fundal pressure in third stage labour. In Enkin, M., Keirse, M.J.N.C., Renfrew, M. and Neilson, J.P. (eds), Cochrane Database of Systematic Reviews. Review No. 3004. Cochrane Updates on Disc, Oxford.

    Google Scholar 

  • Elbourne, D.R. (1993e) Prophylactic syntometrine vs oxytocin in third stage of labour. In Enkin, M., Keirse, M.J.N.C., Renfrew, M. and Neilson, J.P. (eds), Cochrane Database of Systematic Reviews. Review No. 2999. Cochrane Updates on Disc, Oxford.

    Google Scholar 

  • Elbourne, D.R. (1994) Umbilical vein oxytocin for retained placenta. In Enkin, M.W., Keirse, M.J.N.C., Renfrew, M.J. and Neilson, J.P. (eds), Pregnancy and Childbirth Module, Cochrane Database of Systematic Reviews. Review No. 05831, 3 April 1992. Published through `Cochrane Updates on Disk’, Update Software, Oxford. Disk Issue 1.

    Google Scholar 

  • Elbourne, D. and Harding, J. (1990) The Bristol third stage study. In Thomson, A.M., Robinson, S. and Tickner, V. (eds), Proceedings of the 1989 Research and the Midwife Conference. Department of Nursing, University of Manchester.

    Google Scholar 

  • Elbourne, D. and Harding, J. (1991) Routine management for the third stage of labour: evidence from two randomised controlled trials. Journal of Obstetrics and Gynaecology, 11(Suppl. 1 ), S23–7.

    Google Scholar 

  • Elbourne, D., Prendiville,W. and Chalmers, I. (1988) Choice of oxytocin preparation for routine use in the management of the third stage of labour: an overview of the evidence from controlled trials. British Journal of Obstetrics and Gynaecology, 95, 17–30.

    CAS  Google Scholar 

  • Enkin, M. Keirse, M.J.N.C., Renfrew, M. and Neilson, J.P. (eds) (1993) Cochrane Database of Systematic Reviews. Cochrane Updates on Disc, Oxford.

    Google Scholar 

  • Garcia, J., Garforth, S. and Ayers, J. (1987) The policy and practice of midwifery study: introduction and methods. Midwifery, 3 (1), 2–9.

    Article  PubMed  CAS  Google Scholar 

  • Gytte, G. (1989) Comment on Bristol third stage trial. New Generation, 8 (3), 19–20.

    Google Scholar 

  • Hall, M., Halliwell, R. and Carr-Hill, R. (1985) Concomitant and repeated happenings of complications of the third stage of labour. British Journal of Obstetrics and Gynaecology, 92, 732–8.

    Article  PubMed  CAS  Google Scholar 

  • Harding, J. (1988) Problems experienced when running a large randomised controlled trial. Midwives Information and Resource Service Information Pack, No. 7 (April).

    Google Scholar 

  • Harding, J., Elbourne, D. and Prendiville, W.J. (1989) Views of mothers and midwives participating in the Bristol randomized, controlled trial of active management of the third stage of labor. Birth, 16 (1), 1–6.

    Article  PubMed  CAS  Google Scholar 

  • Inch, S. (1989) Bristol third stage trial: commentary. AIMS Quarterly Journal, 1 (4), 8–10.

    Google Scholar 

  • Isherwood, K. (1989a) Management of third stage of labour (letter). Midwives Chronicle and Nursing Notes, 102 (1215), 310.

    Google Scholar 

  • Isherwood, K. (1989b) Management of third stage of labour (letter). Midwives Chronicle and Nursing Notes, 102 (1217), 205.

    PubMed  CAS  Google Scholar 

  • Kwast, B.E. (199la) Maternal mortality: the magnitude and the causes. Midwifery,7(1), 4–7.

    Google Scholar 

  • Kwast, B.E. (1991b) Postpartum haemorrhage. Midwifery, 7 (2), 64–70.

    Article  PubMed  CAS  Google Scholar 

  • McDonald, S., Prendiville, W.J. and Blair,E. (1993) Randomised controlled trial of oxytocin alone versus oxytocin and ergometrine in active management of the third stage of labour. British Medical Journal, 307, 1167–71.

    Article  PubMed  CAS  Google Scholar 

  • Mitchell,G. and Elbourne, D. (1993) the Salford third stage trial: oxytocin plus ergometrine versus oxytocin alone in the active management of the third stage of labour. Online Journal of Current Clinical Trials, Doc. No. 83.

    Google Scholar 

  • Moore, J. and Levy, V. (1983) Further research into the management of the third stage of labour and the incidence of post partum haemorrhage. In Thomson, A. and Robinson, S. (eds). Proceedings of the 1982 Research and the Midwife Conference. Department of Nursing, University of Manchester.

    Google Scholar 

  • Newton, M., Mosey, L.M. Egli, G.E., Gifford, W.B. and Hull, C.T. (1961) Blood loss during and immediately after delivery. Obstetrics and Gynecology, 17, 9–18.

    CAS  Google Scholar 

  • Nikoden, V.C. (1993) Upright vs recumbent position during second stage of labour. In Enkin, M., Keirse, M.J.N.C., Renfrew, M. and Neilson, J.P. (eds), Cochrane Database of Systematic Reviews. Review No. 3334. Cochrane Updates on Disc, Oxford.

    Google Scholar 

  • Nikoden,V.C. (1994) Upright vs recumbent position during second stage of labour. In Enkin, M., Keirse, M.J.N.C., Renfrew, M. and Neilson, J.P. (eds), Cochrane Database of Systematic Reviews. Review No. 3335. Cochrane Updates on Disc, Oxford.

    Google Scholar 

  • Prendiville, W.J., Elbourne, D.R. and Chalmers, 1. (1988) The effects of routine oxytocic administration in the management of the third stage of labour. British Journal of Obstetrics and Gynaecology, 95, 3–16.

    Article  PubMed  CAS  Google Scholar 

  • Prendiville, W.J. and Elbourne, D. (1989) Care during the third stage of labour. In Chalmers, I., Enkin, M. and Keirse, M.J.N.C. (eds), Effective Care in Pregnancy and Childbirth. Oxford University Press, Oxford.

    Google Scholar 

  • Prendiville, W.J., Harding, J. Elbourne, D. and Stirrat, G.M. (1908) The Bristol third stage trial: active versus physiological management of third stage of labour. British Medical Journal 297, 1295–300.

    Google Scholar 

  • Quinlivan, W.L.G., Brock, J.A. and Sullivan, H. (1970) Blood volume changes, blood associated with labour. 1. Correlation of changes in blood volume measured by 1131 albumin and Evans blue dye, with measured blood loss. American Journal of Obstetrics and Gynecology, 106, 843–9.

    PubMed  CAS  Google Scholar 

  • Simms, C., McHaffie, H., Renfrew, M. and Ashurst, H. (eds) (1994) The Midwifery Research Database (MIRIAD): A Sourcebook of Information about Research in Midwifery. Books for Midwives Press, Hale.

    Google Scholar 

  • Sleep, J. (1989) Physiology and management of the third stage of labour. In Bennett, V.R. and Brown, L.K. (eds), Myles Textbook for Midwives. Churchill Livingstone, Edinburgh.

    Google Scholar 

  • Thiliganathan, B., Cutner, A., Latimer, J. and Beard, R. (1993) Management of the third stage of labour in women at low risk of post partum haemorrhage. European Journal of Obstetrics, Gynecology and Reproductive Biology, 48, 19–22.

    Article  Google Scholar 

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© 1995 Springer Science+Business Media Dordrecht

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Elbourne, D. (1995). Care in the third stage of labour. In: Robinson, S., Thomson, A.M. (eds) Midwives, Research and Childbirth. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-6956-9_9

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  • DOI: https://doi.org/10.1007/978-1-4899-6956-9_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-45840-8

  • Online ISBN: 978-1-4899-6956-9

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