Episode 153: Third Stage of Labor (Updated)

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Episode 153 Content and Overview

The third stage of labor starts after your baby is born and ends with birthing the placenta. Even after your beautiful baby is born your uterus will continue to contract. These contractions are generally more mild than the contractions you experience during birth. As your uterus begins to contract and shrink, your placenta will detach from your uterine wall. The blood vessels are then closed off, and the placenta is pushed out. You have a lot of options as to what interventions are employed during this stage and whether your care provider uses active or expectant management. This includes the timing of clamping the umbilical cord, medications, and physically pulling on the umbilical cord. This episode explains all of your choices during the third stage of labor and examines the research to give you all of the information you need to make an informed decision.

Included in This Episode

• Postpartum hemorrhage
• Retained placenta
• Uterine inversion
• Expectant management
• Active management
• Mixed management
• Delayed cord clamping
• Uterotonics
  • Oxytocin
  • Carbetocin
  • Ergot derivatives
  • Prostaglandins
• Discussing your options with your care provider
• Prophylactic ergometrine‐oxytocin versus oxytocin for the third stage of labour
• Prostaglandins for preventing postpartum haemorrhage
• Prophylactic oxytocin for the third stage of labour to prevent postpartum haemorrhage
• Controlled cord traction for the third stage of labour
• Delivering the placenta in the third stage of labour
• Get a copy of Vanessa’s birth plan
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