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Other Comments:
Judy Cohain's original research on third stage labor is a needed contribution to the void that exists on this topic. As stated in her article, this subject is of utmost importance to practitoners wanting to help usher in the best physical and emotional health for the new mother-baby dyad.
Her research delineates a simple method of prevention of PPH, with very effective results. This method not only adds to the repertoire of techiques for practitioners--it becomes the intervention of choice.
Low-tech, hi-touch practitioners will particularly welcome this research, as well as providers in resource-poor, developing nations. -
Competing interests:
None
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Invited by the author to review this article? :
No -
Have you previously published on this or a similar topic?:
No
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References:
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Experience and credentials in the specific area of science:
This article directly addresses my area of science--the midwifery model of care.
- How to cite: Allen L H.Judys 3-4-5 Protocol: Combining the Best Parts of Active and Expectant Management of Third Stage of Labor for Lowest PPH>500cc and no PPH>1000cc[Review of the article 'Judys 3-4-5 Protocol: Combining the Best Parts of Active and Expectant Management of Third Stage of Labor for Lowest PPH > 500 cc and no PPH >1000 cc ' by Cohain J].WebmedCentral 2014;3(3):WMCRW001572
This paper claims to have an easily taught and reproducible protocol for managing delivery of the placenta and keeping PPH rates lower than those seen with standard active or expectant management protocols. It also points out that active management and expectant management are not uniformly understood or practiced per guidelines.
I find this concept to be a novel one as I have been in practice clinical practice where everyone uses "active" management - which just means pull on the cord as hard as you can right after the baby comes out!
Yes, as far as I can tell
Yes
Not that I can tell
I believe so, I am going to adopt this protocol in my practice
Not that I can tell. The only thing that could improve it would be to do a bigger study.
I really like the simplicity of the protocol, the fact that it seems to work, and is easy to remember
no
No
No
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Delivery of over 1600 babies in home and hospital settings