Additional Midwifery Implications
The topic of third stage management should be discussed with each client during the course of her prenatal care. Women need to be informed of the benefits and risks of management options and made aware of any factors particular to their situation worthy of consideration. Access to previous obstetrical records and continuing evaluation of risk factors will help midwives to identify women to whom active management should be recommended. Midwives should endeavour to minimize any existing barriers to the implementation of active management.