LabourFree in the app
Third stage
Active vs physiological management.
Source: NICE NG235Active
| Uterotonic | Oxytocin 10 IU IM at birth (or Syntometrine IM; carbetocin IV at CS). |
|---|---|
| Cord | Clamp after ≥1 min (before 5 min); controlled cord traction. |
| Prolonged | Not delivered within 30 min. |
Physiological
| Method | No drugs; maternal effort. |
|---|---|
| Prolonged | Not delivered within 60 min. |
Signs of separation
- Uterus becomes firm, globular and rises
- Cord lengthens
- Gush of blood
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.