Jill Durocher

Controlled Cord Traction in Active Management of the Third Stage of Labour (Comment)

September 29th, 2012
Sheldon, W.R., Winikoff, B.

The Lancet; 380(9848):1146; 2012 Sep 29; doi:10.1016/S0140-6736(12)61664-X

This comment responds to the conclusions of a study that examined controlled cord traction as part of active management of the third stage of labor. While the study concluded that controlled cord traction can be omitted without increasing the incidence of severe postpartum hemorrhage, Sheldon and Winikoff note that all women in the study were given oxytocin prophylaxis and argue that these findings may not apply in settings where oxytocin prophylaxis is not part of standard care.