ArticleBMC pregnancy and childbirth2010
Policies for care during the third stage of labour: a survey of maternity units in Syria.
Article in BMC pregnancy and childbirth, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 14 citations in OpenAlex.
- An investigation of the quality of Syrian health insurance services via the SERVQUAL approach: a cross-sectional study.Cost effectiveness and resource allocation : C/E · 2025Article
- Getting back on track to meet global anaemia reduction targets: a Lancet Haematology Commission.The Lancet. Haematology · 2025Review
- The health system in Syria (2000-2024): assembling the pieces of a fragmented system-A scoping review.Health research policy and systems · 2025Article
- Integrated review of the knowledge, attitudes, and practices of maternity health care professionals concerning umbilical cord clamping.Birth (Berkeley, Calif.) · 2022Review
- Umbilical cord clamping and management of the third stage of labor: A telephone-survey describing Swedish midwives' clinical practice.European journal of midwifery · 2022Article
- The BabySaver: Design of a New Device for Neonatal Resuscitation at Birth with Intact Placental Circulation.Children (Basel, Switzerland) · 2021Article
- The development of quality indicators for the prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands.BMC pregnancy and childbirth · 2013Article
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Authors and funding
7 authors at 4 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCare for women during the third stage aims to reduce the risk of major haemorrhage, but is very variable. The current World Health Organisation (WHO) recommendation is that care should include administration of a uterotonic (oxytocin, if it is available) soon after birth of the baby, delayed cord clamping, and delivery of the placenta by controlled cord traction.
methodsTo ascertain care policies used during the third stage of labour in maternity units in Syria, we conducted a survey of 69 maternity units in obstetric and general public hospitals. A brief questionnaire was administered by face to face interview or telephone with senior obstetricians and midwives. Outcome measures were the use of prophylactic uterotonic drugs, timing of cord clamping, use of controlled cord traction, and treatment for postpartum haemorrhage. Obstetricians were asked about both vaginal and caesarean births, midwives only about vaginal births.
resultsResponses were obtained for 66 (96%) hospitals: a midwife and an obstetrician were interviewed in 40; an obstetrician only in 20; a midwife only in 6. Responses were similar, although midwives were more likely to report that the umbilical cord was clamped after 1-3 minutes or after cessation of pulsation (2/40 obstetricians and 9/40 midwives). Responses have therefore been combined.One hospital reported never using a prophylactic uterotonic drug. The uterotonic was Syntometrine(R) (oxytocin and ergometrine) in two thirds of hospitals; given after delivery of the placenta in 60 (91%) for vaginal births, and in 47 (78%) for caesarean births. Cord clamping was within 20 seconds at 42 hospitals 64%) for vaginal births and 45 (75%) for caesarean births. Controlled cord traction was never used in a quarter (17/66) of hospitals for vaginal births and a half (32/60) for caesarean births.68% of respondents (45/66) thought there was a need for more randomised trials of interventions during the third stage of labour.
conclusionMost maternity units report using Syntometrine(R), usually given after delivery of the placenta, clamping the cord within 20 seconds, and using controlled cord traction.
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