Hi
I can't help with 3rd stage stuff but Sue McDonald in Perth Australia has done
trials in that area.
I am going to Zimbabwe very soon for a short visit (only a few days). Would you
have any email contacts there. I want to meet midwives practising autonomously
if possible.
Georgie Stamp
> ----------
> From: Patrice M. White[SMTP:[log in to unmask]]
> Reply To: [log in to unmask]
> Sent: Wednesday, September 22, 1999 8:54
> To: [log in to unmask]
> Subject: third stage management
>
> I've been amazed to see how quickly this list has grown and have enjoyed
> hearing about everyone's research interests.
>
> I'm an American nurse midwife currently working as a technical advisor in
> Indonesia--based in Jakarta. Right now, I'm working with both pre-service
> midwifery education (helping the Diploma III midwifery faculty rewrite two
> key clinical courses) and in-service training (helping with development and
> implementation of a clinical update course for village midwives).
> Previously, I've worked in Somalia (training TBAs) and in Cambodia (training
> TBAs and district midwives and writing PHC curriculum for peripheral health
> workers) and in Los Angeles (LA County+USC Women's Hospital Midwifery
> Service). I finished my doctorate in public health at UCLA in 1996. My
> dissertation was based on field work in Cambodia and focused on beliefs and
> practices of Khmer women during pregnancy, birth and postpartum in the
> context of how these beliefs/practices could contribute to or prevent
> maternal mortality/morbidity. I continue to be interested in how cultural
> beliefs/practices influence perceptions of what's normal and what's not
> normal during pregnancy and have been intrigued to see similarities between
> Khmer and Javanese beliefs.
>
> Questions for anyone with experience in active management of third stage.
> This is new for me and is a major focus of the in-service course we're
> developing. I've read most of the major studies but can't find anything
> about:
>
> 1. timing of cord cutting--does it matter (for active management) if you
> delay? Some reports stress immediate cutting but don't state the rationale.
> I understand the rationale for the infant of waiting but haven't ever
> practiced that clinically. How long does the cord take to stop pulsating?
> 2. controlled cord traction and counter traction--with each contraction?
> continuous? or only when you see signs of placental separation?
> 3. Also, does anyone with experience using oxytocin 10U IM for active
> management have an idea of how long (on average) it takes before placental
> delivery?
>
> I'll look forward to hearing any of your ideas or experiences!
>
> All the best,
> Patrice
>
>
> Patrice M. White, CNM, DrPH
> Technical Advisor, Midwifery Education and Training
> Maternal Health Training Project
> PRIME/ACNM
> Jakarta, INDONESIA
>
> mailing address:
> USAID-Jakarta
> Washington, DC 20523
>
> 62-21-520-1004 office
> 62-21-316-2468 home
>
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|
