Active Management Literature Review

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Module Leader: Dr. Deirdre O’Donnell/ Marie Meskell Student Name: Ashleigh Padden
Module Title: Evidence Based Practice for Healthcare Student Number: 11473698

Assessment Title
The effects of active management compared to the physiological management during the third stage of labour in new-born infants.

Date Due: 16/01/15
Date Submitted: 16/01/15

Word Count: 800
Actual Word Count: 880

ACTIVE MANAGEMENT VERSUS PHYSIOLOGICAL MANAGEMENT

The effects of active management compared to the physiological management during the third stage of labour in new-born infants.
Introduction
The third stage of labour is the period from the birth of the infant until the delivery of the placenta. After birth, infants are still attached to their mother via the umbilical cord, which is part of the placenta. To separate the infant, the umbilical cord is clamped. The timing of the clamping of the cord varies according to maternity hospital policies and practices established. Clamping the cord early is believed to reduce the risk of post-partum haemorrhage after delivery. Delayed cord clamping can lead to improved iron status for infants up to six months of age after delivery (McDonald and Middleton, 2009).
For the purpose of this literature review, this student shall critically discuss the effects of active management in
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Early cord clamping is carried out in the first sixty seconds post-delivery. Late cord clamping is carried out after more than one minute post-delivery or when cord pulsation has ceased. Their objectives were to determine whether different policies on the timing of cord clamping at delivery affects maternal and neonatal outcomes. Eleven randomised controlled trials were undertaken on 2,989 expectant mothers and their babies. McDonald and Middleton independently assessed the eligibility and quality of these trials and extracted the

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