Normal birth CPG- managment of third stage labour

Question 1

how should we position paitent and what may assist with speration of the placenta?

Answer 1

sitting or squatting may help because gravity

breast feeding may help to stimualte contraction

Question 2

do we do any active manamgnet to deliver the placenta?

Answer 2

no allow for natural seperation- may take anywehere from 15 minutes to an hour

Question 3

what are some signs of speration?

Answer 3

lengthening of chord, uerus becoming rounded and higher up
trickle or gush of blood
contractions-urge to push returns

Question 4

when there are signs of speration what should we do?

Answer 4

Birthed by maternal effort
encourgae to give a little push
use two hands to support delivery using a small seasaw motion to assist out if needed
and note time of placental delivery

Question 5

what do we do with the placenta after it has been delivered?

Answer 5

place placenta and clots into a contanier
inspect for fullness to ensure no retained products
inspect that fundus is firm and contracted/central
continue to monitor funds
continue to monitor blood loss and if PPH