Does a Short labour equal a long 3rd stage?

[secur]

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I have seen this in practice but not often enough to say that is the norm i.e. short labour means long third stage.

My own thoughts are that the administration of a drug to manage the third stage throws things into disarray. Since the body has been capable of delivering the baby in a short time, why should it be necessary to still routinely 'actively manage' the third stage which is what we hospital midwives tend to do in accordance with hospital policy. In the absence of bleeding, a physiological third stage can take as long as 2 hours safely. However, left to it's own devices, nature can have the placenta delivered physiologically within 10 minutes.
My question would be, does the administration of an oxytocic drug routinely for the third stage make the third stage longer in a quick labour by interefering with the physiological process?

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How long were your third stages?

This is a great book full of refernces
here

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go onto www.googe.com and type in 'physiological third stage'
You will get loads of information.

I think your own theoty is right - you were in shock and needed time to get adjusted to deliver placenta. Were you kept warm with a blanket - that can help things along.

And breastfeeding ofcourse

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My first labour including delivery was 2hrs 20 mins, and I was given a jab to deliver the placenta, so it came v quickly iirc. Second labour inc delivery was 1hr50, and tbh I can't remember how I delivered the placenta. Was caught up in the fact i was in another country, and taken by surprise. Third was 1hr11 inc delivery and the placenta was delivered naturally after about 20 mins. Fourth was 22 mins inc 5 min pushing, placenta came naturally after about 15 mins.

I don't think this will be much help but... my longest labour was 12hrs (delivery about 20 mins?) and my shortest was 4 (delivery about 30 secs!), both times I had the injection and I delivered the placenta in about 5/10 minutes.

If its happened to you 3 times though, surely thats just the way you do it IYSWIM!

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40-45 minutes is not a long third stage!!! Not if you haven't had the synthetic hormone, I mean. I can't believe you were told that past 30 minutes was unacceptable. I've think I heard 1.5 hours as a policy limit when I had my homebirth; there was a poll on the homebirth list and some women took up to 4 hours to get the placenta out. I can't remember the average for physiological 3rd stage, but I feel sure I've always heard 45 minutes (about how long it took me).
Your consultant is talking rubbish, Secur. Are you on the homebirth email list? ? You mustn't let this issue dissuade you if HomeB is what you want.

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Once you have had an injection the placenta is expected within 10mins. At 20 mins people are getting twitchy and at 40 mins retained placenta is expected. The ergometrine in sytometrine can cause the cervix to clamp down and trap the placenta if not delivered within time frame above. That is why concern has been expressed to Secur.

I had 55 minutes with DS ten yrs ago and 45 minutes this time with DD 17 mths ago.
I absolutely refused to discuss it until 2hrs 45 had passed, which is when is could by the literature I read become physiologically compromising. 3rd stage was thus longer than 1-2 put together on both occasions! I spent the tiem in between bonding and feeding, it was lovely, meant I could stay close and relax...

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ooops lol
labours in both cases were under an hour from first real twang to delivery, placenta was 55 mins with 1st and 45 mins with 2nd baby
No injection I read up on it said no way would I even discuss it until 2 hrs 45 mins after delivery had passed (info I had read up on said that up to 3hrs was very safe to be left to do it naturally)
xx
j

Ah, ok, yes, that's the problem with the jab, it is only offered as a convenience and I guess it reduces risk of hemorage, but most women are not susceptible to that, anyway. Otherwise, it increases the risk of a post-partum trip to operating theatre to get the placenta out, personally I don't think the trade off is worth it for a woman at low risk of post-partum hemorage!
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Pisser, And you must join the homebirth list! Sometimes I find the most vocal women on there a bit militant, but there's a quiet majority (I think majority), who just want HomeB coz they think it's a nice thing and aren't necessarily all that alternative. The list is all about getting support for homebirth in the face of such stupid opposition and lack of information.

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