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Active management of the third stage of labor: why is it controversial?

Journal Article
(Published February, 2004)
Vivio, D. (Author),
Williams, D. (Author)
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This commentary discusses controversy in active management of the third stage of labor as a way of preventing postpartum hemorrhage. The article notes that some opponents believe that active management is overly interventive and has the potential to trap the placenta within the uterus as a result of giving a uterotonic drug prior to delivery of the placenta. The authors state that the International Confederation of Midwives (ICM) and the International Federation of Gynaecologists and Obstetricians (FIGO) have reviewed and discussed this argument at length, and determined that the evidence is lacking. A joint statement of ICM and FIGO in 2003 recommends offering all women active management of the third stage of labor and having skilled birth attendants.

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Citation: 
Vivio D, Williams D. Active management of the third stage of labor: why is it controversial? J Midwifery Womens Health. 2004; 49(1): 2–3.