Any midwives out there? Question about syntometrine ...

[nappyaddict]

Hello,
I have a question to do with having syntometrine for the 3rd stage of labour. If you have syntometrine do they have to cut the cord straight after or can you wait until after the placenta has been delivered?

They cut the cord after having syntometrine and then deliver the placenta, parts of syntometrine can start working in 45 seconds depending on administration route Hope that helps:-)

You can wait for syntometrine to be given, it doesn't have to be administered at the moment of birth.

Sorry, didn't answer. The injection is usually administered as the shoulder is born - so the cord is cut very shortly after the jab is given.

If you want delayed cord cutting or a physiological third stage, then you can decline the syntometrine injection (unless you're having a PPH, then it might be wise to have it!)'

So say someone ideally wanted a physiological third stage but was having a PPH so had to have syntometrine, what are the reasons that she couldn't wait until after the placenta was delivered to cut the cord?

I also just found this which I didn't know:

"Syntometrine has the potential to cause serious adverse drug reactions in breastfed newborns/infants. Postpartum women receiving Syntometrine should avoid breastfeeding at least 12 hours after the administration. Milk secreted during this period should be expressed and discarded (see Pregnancy and Lactation)."

"Tell your doctor if you plan to breast-feed after being given Syntometrine. One of the ingredients in this medicine secretes into breast milk. Your doctor will discuss the potential risks and benefits involved."

"Of the two components, only ergometrine is known to pass into breast milk. The use of Syntometrine during lactation is not generally recommended. Ergometrine is secreted into milk and the inhibitory effect of ergometrine on prolactin can cause a reduction in milk secretion. Syntometrine has the potential to cause serious adverse drug reactions in breastfed newborns/infants. Postpartum women receiving Syntometrine
should avoid breastfeeding at least 12 hours after the administration. Milk secreted during this period should be discarded. Breast-feeding should be discontinued in cases where repeated postpartum administration of Syntometrine is necessary."

Good evening,
my partner gave birth 2 days ago. after given birth the midwife said that he was really sorry but he got medication mixed up and gave her syntometrine while the our baby was still in her. is there aanything to be worried about or any action that would need to be taken? thanks in advance.