TEALE FENNING

Abik · Posted: Sun Aug 26, 2007 10:35 am Post subject: help needed

Hi everyone - so good to see the forum at work.
I need some assistance - I thought that I had read somewhere on the forum that delaying synto following ARM is no help and actually increases risk of PPH.
Any ideas if this is true or where it's from?

wolverine · Century Club Joined: 16 Jan 2007 Posts: 394

how nice to see you back Abi! The forum is poorer (and boring) without you!
I have no idea about your question. I'm sure the infection rates are increased in the delayed synto group but not sure about PPH. The outcome is not different at all.

Nick Raine-Fenning · Posted: Thu Aug 30, 2007 12:25 pm Post subject:

Hi 'Old Timers' Wink

You are right Abi (not sure about PPH but certainly about its effectiveness.

This comes from Effective Care in Pregnancy and Childbirth by Enkin et al (the Oxford group / Cochrame evidence).

There is no benefit to waiting so tell those midwives to get it up and running! If you get too many contractions you can always turn it down.

Not sure if delaying increases PPH but I would say 'true' in an MCQ.
_________________
"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997

Nick Raine-Fenning · Posted: Thu Aug 30, 2007 12:26 pm Post subject:

Hi 'Old Timers' Wink

You are right Abi (not sure about PPH but certainly about its effectiveness.

This comes from Effective Care in Pregnancy and Childbirth by Enkin et al (the Oxford group / Cochrame evidence).

There is no benefit to waiting so tell those midwives to get it up and running! If you get too many contractions you can always turn it down.

Not sure if delaying increases PPH but I would say 'true' in an MCQ.
_________________
"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997