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Ann Trop Paediatr ;24 1 Michaelsen KF, et al. A longitudinal study of iron status in healthy Danish infants: effects of early iron status, growth velocity and dietary factors. Acta Paediatr ;84 9 Kinmond S, et al. Umbilical cord clamping and preterm infants: a randomised trial. Bilirubin benefits: cellular protection by a biliverdin reductase antioxidant cycle.

Pediatrics ; 6 Inch S. New York: Random House, Sorbe B.

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Active pharmacologic management of the third stage of labor. A comparison of oxytocin and ergometrine. Obstet Gynecol ;52 6 Prendiville WJ, et al. Active versus expectant management in the third stage of labour. Rogers J, et al. Active versus expectant management of third stage of labour: the Hinchingbrooke randomised controlled trial.

Lancet ; , p Botha M. Management of the Umbilical Cord During Labour.

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South African Journal of Obstetrics and Gynecology ; Walsh SZ. Maternal effects of early and late clamping of the umbilical cord.

Crying, Age 3 and Younger

Lancet ;1 Phillip H, et al. The impact of induced labour on postpartum blood loss. J Obstet Gynaecol ;24 1 Postpartum haemorrhage after induced and spontaneous labour. Br Med J ;2 Hemminki E. Impact of caesarean section on future pregnancy—a review of cohort studies. Paediatr Perinat Epidemiol ;10 4 Gilbert L, et al. Postpartum haemorrhage—a continuing problem. Br J Obstet Gynaecol ;94 1 Ladipo OA. Management of third stage of labour, with particular reference to reduction of feto-maternal transfusion. Br Med J ;1 Prevention of erythroblastosis by an obstetric technic.

Obstet Gynecol ;27 4 Beer AE.

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Fetal erythrocytes in maternal circulation of Rh-negative women. Obstet Gynecol ;34 2 Weinstein L, et al. Third stage of labor and transplacental hemorrhage. Obstet Gynecol ;37 1 World Health Organisation. Care in Normal Birth: a Practical Guide. Report of a Technical Working Group. Geneva: World Health Organisation, , p Sarah is a Medical Doctor, with an M.

Buckley www. Hormones in the third stage A s a mammalian species- that is, we have mammary glands that produce milk for our young- we share almost all features of labour and birth with our fellow mammals. The baby, the cord, and active management A daptation to life outside the womb is the major physiological task for the baby in third stage.

Active management and the mother A ctive management oxytocic, early clamping and controlled cord traction represents a further development in third stage interference that began in the mid-seventeenth century, when male attendants began confining women to bed, and cord clamping was introduced to spare the bed linen. They add, S ome women may rate a small personal risk of PPH of little importance compared with intervention in an otherwise straightforward labour, whereas others may wish to take all measures to reduce the risk of PPH. See all GNB professional webinars here References 1.

Position in delivery letter.


Your hungry child will eagerly accept feeding and stop crying. Upset cries. Upset cries are loud and start suddenly. Your young child may be afraid, bored, or lonely. As your child gets older, upset crying may be a reaction to such things as loud noises, frustration with clothing or toys, or fear of strangers. Pain cries. Pain cries start with a high-pitched, strong wail followed by loud crying.

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These cries sound very irritating and may make you feel anxious. A young child in pain will often have other signs of pain along with crying. Commonly, pain cries may be caused by: A recent immunization. Your child may be fussy, cry more than usual, and have a fever after receiving an immunization, especially diphtheria, tetanus, and pertussis DTaP shots.

But he or she will look well even while continuing to cry. Teething symptoms may begin about 3 to 5 days before a tooth breaks the skin, although symptoms can be present off and on for 1 to 2 months. The most common symptoms of teething include swelling, tenderness, or discomfort in the gums at the site of the erupting tooth; drooling; biting on fingers or toys; irritability; or difficulty sleeping. Teething may cause a mild increase in your child's temperature.

A crying episode that occurs when the child is trying to pass a stool normally will stop when the stool is passed. Diaper rash. Irritated skin around the thighs, genitals, buttocks, or abdomen may make a child cry persistently, especially when a diaper is wet or soiled. All babies cry, but sometimes a baby will cry for hours at a time, no matter what you do. This extreme type of crying in a baby who is between 3 weeks and 3 months of age is called colic. While it is upsetting for parents and caregivers, colic is normal for babies. Doctors usually diagnose colic when a healthy baby cries harder than expected in a "3" pattern: more than 3 hours a day at least 3 days a week for at least 3 weeks in a row.

The crying is usually worst when babies are around 6 to 8 weeks of age, and it goes away on its own between 8 and 14 weeks of age. Doctors are not sure what causes colic.

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It may be related to gas in the belly, an immature nervous system, or your baby's temperament. Abdominal cramps from overfeeding or milk intolerance. Overeating or swallowing too much air during feeding can cause abdominal cramps, which in turn can make a baby cry. Crying also may occur if your child is sensitive to milk protein. The baby will often spit up some of the feeding and may have loose stools.

A minor illness, such as a cold or stomach flu gastroenteritis. Crying related to an illness often begins suddenly. In most cases, there are other signs of illness such as fever, looking sick, and decreased appetite. Minor injuries. Your child is likely to cry when he or she has an injury, such as an eyelash in the eye, an insect bite, an open diaper pin in the skin, or a strand of hair wrapped around a finger, toe, or the penis. Overtired or overstimulated cries. Crying can be your young child's way of releasing tension when there is too much noise, movement, or activity in his or her environment or when he or she is overtired.

Crying related to a serious illness or injury On rare occasions, crying may point to a serious illness or injury. Some illnesses may cause persistent crying. These include common infections, such as ear infections otitis media or urinary tract infections , and rarer infections, such as meningitis , encephalitis , or sepsis with dehydration.

A persistent cry in a newborn may be the first sign of a serious illness, such as sepsis. A serious injury from a fall, being shaken, or abuse may cause a child to cry for a long time. Other signs of injury, such as swelling, bruising, or bleeding, are usually present.