Originally Posted by loveneverfails
It would take me a bit to find the citations, but the research does indicate that active management *does* decrease the likelihood of PPH by a good amount.
Yeah, I think actually WHO recommends active management of PP time with prophylactic administration of pitocin!
However, aren't there certain other factors that increase
risk of PPH such as:
-extra strong contractions (as can be brought on by pitocin or cyctotec in labor)
-manual extraction of the placenta
Maybe since you've had PPH in the past and
if you end up with an extra long labor, it might be worth doing it?
Otherwise, I'd personally stick with expectant management & nursing afterward. In my case, DS didn't want to BF! We tried, but he just looked at me - no interest! And, my MW was concerned that there were some pieces of the amniotic sac retained, so she wanted to give me pit. She asked my preference - shot or IV (it was a hospy birth so I had a hep-lock in place
.) I chose the shot & it wasn't a problem. In that case, it was her judgment call that it was necessary & I trusted her (VERY GOOD MW!)