Abstract

The current management of the third stage of labour is at last, making increasing use of oxytocics in the late second stage and of techniques of cord traction for the delivery of the placenta. The importance of determining the most effective method for the conduct of the third stage by each unit of the maternity services will remain so long as maternal deaths from haemorrhage continue to figure prominently in the Reports on Confidential Enquiries into Maternal Deaths. The slow puerperal recovery of many more patients who, while not in danger of their lives, have blood losses that are larger than necessary, is an important aspect of this subject that does not appear in statistical tables or hospital reports.

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