Introduction: Concerns exist regarding the suitability of international and national guidance informing third stage of labour care for some women.
Review: The robustness and appropriateness of the research evidence underpinning this guidance has been assessed, and areas for further research identified which may address gaps in knowledge.
Findings: International and national third stage of labour practice guidance, recommending active management for all women, probably cannot be generalised to women at low risk of PPH giving birth in a midwife-led unit or a home birth setting. This is due to reduced reliability, validity and generalisability of the evidence informing this guidance, to this group of women.
Conclusions: Expectant management may be more appropriate for women at low risk of PPH who choose to birth in a midwife-led unit or home birth setting and want to experience a birth with minimal intervention. However, more research into third stage management practices in midwife-led and home birth settings is needed.
Original languageEnglish
JournalBritish Journal of Midwifery
Publication statusAccepted/In press - 19 Jul 2021


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