variation of expectant management that is used by
many practitioners who may consider their management
style to be physiologic rather than active is the Brandt-
Andrews manoeuvre. This manoeuvre involves no
administration of oxytocin, and controlled cord traction
with or without early clamping. There currently is no
research that compares the Brandt-Andrews manoeuvre
to physiologic management of third stage. Both
approaches seem to be reasonable variations to offer
when a woman has chosen physiological management,
given the evidence discussed earlier in this guideline
that suggests that controlled cord traction decreases the
risk of PPH.