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https://www.news-medical.net/health/Placental-Expulsion-Active-vs-Physiological-Management.aspx
Feb 27, 2019 · There are two options for placenta delivery - active management and physiological management. Active management is a fairly quick process. During active management, a drug, oxytocin, is injected into the thigh of a woman who is going to give birth to a baby.
https://www.nhsinform.scot/ready-steady-baby/labour-and-birth/giving-birth/delivering-your-placenta
You may feel the placenta slide down and out between your legs. An unaided (physiological) third stage. An unaided third stage usually takes longer than an actively managed one. You don’t have an injection or cord traction. Your body releases the hormone oxytocin when: you breastfeed your baby; your baby lies on your chest with skin-to-skin contact
https://www.ncbi.nlm.nih.gov/books/NBK538332/
Placenta percreta is the deepest penetrating of the three types as the placenta pushes through the myometrium and into the uterine wall. In some cases, the placental cells can reach out of the uterus and invade the rectum or bladder.
https://www.babycentre.co.uk/x562146/should-i-have-a-managed-or-physiological-third-stage
Your third stage of labour begins once your baby is born and ends when you deliver the placenta. You can choose to have either a physiological (natural) third stage or an actively managed third stage. A physiological third stage means that you wait for the placenta to be delivered naturally. After your baby's birth, your midwife will wait for the cord to stop pumping oxygenated blood from the placenta …
https://www.nice.org.uk/guidance/cg190/ifp/chapter/Delivering-the-placenta
Feb 01, 2017 · The placenta is pulled out by the midwife once it has separated from the wall of the uterus (womb) You push the placenta out with contractions, which can take up to 1 hour Active management speeds up delivery of the placenta, which will usually happen within 30 minutes, and lowers the risk of heavy blood loss (haemorrhage).
https://badassmotherbirther.com/birth-of-the-placenta
A woman can choose to have a physiological/natural third stage, or an “actively managed” one. It is essential that you discuss with the health professionals who will be assisting you in the birth of your baby the specific ways that you want to birth your placenta. Through and through, every aspect and stage of birth needs to be respected.
https://www.nct.org.uk/labour-birth/your-guide-labour/third-stage-labour-delivering-placenta-and-cord-clamping
Physiological management: It’s generally practised in midwife-led units and in home births. It allows the placenta to be ready to come out mainly by pushing, gravity, contractions and sometimes by nipple stimulation. It doesn’t use oxytocin injections.
https://www.cochrane.org/CD007412/PREG_delivering-placenta-third-stage-labour
Feb 12, 2019 · Active management of the third stage of labour involves giving a prophylactic uterotonic, early cord clamping and controlled cord traction to deliver the placenta. With expectant management, signs of placental separation are awaited and the placenta is delivered spontaneously.
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