{"id":"https://openalex.org/W2140136090","doi":null,"title":"Third stage of labour - studies on management, blood loss and pain in Angola and Sweden","display_name":"Third stage of labour - studies on management, blood loss and pain in Angola and Sweden","publication_year":2010,"publication_date":"2010-10-25","ids":{"openalex":"https://openalex.org/W2140136090","mag":"2140136090"},"language":"en","primary_location":{"id":"pmh:oai:bada.hb.se:2320/10067","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2077/23833","pdf_url":"http://hdl.handle.net/2077/23833","source":{"id":"https://openalex.org/S4306401430","display_name":"Bor\u00e5s Academic Digital Archive (University of Bor\u00e5s)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I992397","host_organization_name":"University of Bor\u00e5s","host_organization_lineage":["https://openalex.org/I992397"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"doctoral thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://hdl.handle.net/2077/23833","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014076024","display_name":"Elisabeth Jangsten","orcid":"https://orcid.org/0000-0002-9997-8345","observed_orcids":["https://orcid.org/0000-0002-9997-8345"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Elisabeth Jangsten","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5014076024"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.9009000062942505,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.9009000062942505,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.09229999780654907,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10979","display_name":"Breastfeeding Practices and Influences","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/third-stage-of-labor","display_name":"third stage of labor","score":0.9890000224113464},{"id":"https://openalex.org/keywords/active-management-of-third-stage-of-labor","display_name":"active management of third stage of labor","score":0.9100000262260437},{"id":"https://openalex.org/keywords/postpartum-hemorrhage","display_name":"postpartum hemorrhage","score":0.9760000109672546},{"id":"https://openalex.org/keywords/postpartum-blood-loss","display_name":"postpartum blood loss","score":0.8920000195503235},{"id":"https://openalex.org/keywords/afterpains","display_name":"afterpains","score":0.8370000123977661},{"id":"https://openalex.org/keywords/postpartum-pain","display_name":"postpartum pain","score":0.7210000157356262},{"id":"https://openalex.org/keywords/oxytocin","display_name":"oxytocin","score":0.8040000200271606},{"id":"https://openalex.org/keywords/midwives-experiences","display_name":"midwives' experiences","score":0.7379999756813049},{"id":"https://openalex.org/keywords/midwifery-decision-making","display_name":"midwifery decision-making","score":0.8539999723434448},{"id":"https://openalex.org/keywords/low-income-settings","display_name":"low-income settings","score":0.4300000071525574},{"id":"https://openalex.org/keywords/high-income-settings","display_name":"high-income settings","score":0.8389999866485596},{"id":"https://openalex.org/keywords/sweden","display_name":"Sweden","score":0.9879999756813049},{"id":"https://openalex.org/keywords/randomized-controlled-trials","display_name":"randomized controlled trials","score":0.5149999856948853},{"id":"https://openalex.org/keywords/postnatal-care","display_name":"postpartum care","score":0.3610000014305115}],"concepts":[{"id":"https://openalex.org/C3020613246","wikidata":"https://www.wikidata.org/wiki/Q1161829","display_name":"Third stage","level":3,"score":0.8209438920021057},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8098272085189819},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.642690896987915},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.6159926056861877},{"id":"https://openalex.org/C3019815172","wikidata":"https://www.wikidata.org/wiki/Q2161551","display_name":"Expectant management","level":4,"score":0.5419730544090271},{"id":"https://openalex.org/C2910678782","wikidata":"https://www.wikidata.org/wiki/Q2916482","display_name":"Postpartum haemorrhage","level":3,"score":0.5224499106407166},{"id":"https://openalex.org/C146357865","wikidata":"https://www.wikidata.org/wiki/Q1123245","display_name":"Stage (stratigraphy)","level":2,"score":0.48350051045417786},{"id":"https://openalex.org/C2909151182","wikidata":"https://www.wikidata.org/wiki/Q625506","display_name":"Preterm labour","level":4,"score":0.454237163066864},{"id":"https://openalex.org/C3019609523","wikidata":"https://www.wikidata.org/wiki/Q34581","display_name":"Labour ward","level":3,"score":0.4370405972003937},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.42598670721054077},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.38916581869125366},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.20847180485725403},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.18077954649925232},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C2777211547","wikidata":"https://www.wikidata.org/wiki/Q17141490","display_name":"Training (meteorology)","level":2,"score":0.0},{"id":"https://openalex.org/C153294291","wikidata":"https://www.wikidata.org/wiki/Q25261","display_name":"Meteorology","level":1,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:bada.hb.se:2320/10067","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2077/23833","pdf_url":"http://hdl.handle.net/2077/23833","source":{"id":"https://openalex.org/S4306401430","display_name":"Bor\u00e5s Academic Digital Archive (University of Bor\u00e5s)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I992397","host_organization_name":"University of Bor\u00e5s","host_organization_lineage":["https://openalex.org/I992397"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"doctoral thesis"},{"id":"pmh:oai:gupea.ub.gu.se:2077/23833","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/2077/23833","pdf_url":null,"source":{"id":"https://openalex.org/S4306401168","display_name":"Gothenburg University Publications Electronic Archive (Gothenburg University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I881427289","host_organization_name":"University of Gothenburg","host_organization_lineage":["https://openalex.org/I881427289"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Doctoral thesis"},{"id":"mag:2140136090","doi":null,"is_oa":false,"landing_page_url":"https://gupea.ub.gu.se/bitstream/2077/23833/2/gupea_2077_23833_2.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:bada.hb.se:2320/10067","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2077/23833","pdf_url":"http://hdl.handle.net/2077/23833","source":{"id":"https://openalex.org/S4306401430","display_name":"Bor\u00e5s Academic Digital Archive (University of Bor\u00e5s)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I992397","host_organization_name":"University of Bor\u00e5s","host_organization_lineage":["https://openalex.org/I992397"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"doctoral thesis"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320323416","display_name":"Sahlgrenska Universitetssjukhuset","ror":"https://ror.org/04vgqjj36"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2140136090.pdf","grobid_xml":"https://content.openalex.org/works/W2140136090.grobid-xml"},"referenced_works_count":137,"referenced_works":["https://openalex.org/W35506279","https://openalex.org/W71271153","https://openalex.org/W172429952","https://openalex.org/W195641425","https://openalex.org/W1497472194","https://openalex.org/W1508794850","https://openalex.org/W1524301835","https://openalex.org/W1576851640","https://openalex.org/W1590978788","https://openalex.org/W1591974612","https://openalex.org/W1783579560","https://openalex.org/W1844917530","https://openalex.org/W1894055165","https://openalex.org/W1935038581","https://openalex.org/W1954250647","https://openalex.org/W1964164363","https://openalex.org/W1968168049","https://openalex.org/W1969581718","https://openalex.org/W1970701752","https://openalex.org/W1976252524","https://openalex.org/W1977698111","https://openalex.org/W1978197904","https://openalex.org/W1979888082","https://openalex.org/W1981286526","https://openalex.org/W1982325404","https://openalex.org/W1983223570","https://openalex.org/W1985845712","https://openalex.org/W1987709808","https://openalex.org/W1988566804","https://openalex.org/W1991089360","https://openalex.org/W1994868670","https://openalex.org/W1995548235","https://openalex.org/W1996843823","https://openalex.org/W1999777087","https://openalex.org/W2003730567","https://openalex.org/W2004653721","https://openalex.org/W2005532151","https://openalex.org/W2006896535","https://openalex.org/W2007461380","https://openalex.org/W2009177514","https://openalex.org/W2011713089","https://openalex.org/W2011846947","https://openalex.org/W2012121814","https://openalex.org/W2015379124","https://openalex.org/W2016556572","https://openalex.org/W2018128877","https://openalex.org/W2018899833","https://openalex.org/W2020128598","https://openalex.org/W2023814131","https://openalex.org/W2024133715","https://openalex.org/W2028526985","https://openalex.org/W2028820696","https://openalex.org/W2028835676","https://openalex.org/W2029624010","https://openalex.org/W2029762735","https://openalex.org/W2032027147","https://openalex.org/W2032316483","https://openalex.org/W2033605703","https://openalex.org/W2033769607","https://openalex.org/W2034417748","https://openalex.org/W2036063633","https://openalex.org/W2036084370","https://openalex.org/W2036717688","https://openalex.org/W2039114530","https://openalex.org/W2042312542","https://openalex.org/W2046432386","https://openalex.org/W2047083100","https://openalex.org/W2048118908","https://openalex.org/W2049690635","https://openalex.org/W2051489580","https://openalex.org/W2055873493","https://openalex.org/W2058920967","https://openalex.org/W2061042074","https://openalex.org/W2061076542","https://openalex.org/W2062604401","https://openalex.org/W2062915884","https://openalex.org/W2063024120","https://openalex.org/W2064005443","https://openalex.org/W2064475745","https://openalex.org/W2065128028","https://openalex.org/W2065131101","https://openalex.org/W2065928879","https://openalex.org/W2071568420","https://openalex.org/W2079271703","https://openalex.org/W2083564227","https://openalex.org/W2085422200","https://openalex.org/W2087376512","https://openalex.org/W2090825132","https://openalex.org/W2091803904","https://openalex.org/W2095340909","https://openalex.org/W2097303857","https://openalex.org/W2098135150","https://openalex.org/W2105970660","https://openalex.org/W2106952837","https://openalex.org/W2107518816","https://openalex.org/W2108578407","https://openalex.org/W2110591841","https://openalex.org/W2111000724","https://openalex.org/W2113726274","https://openalex.org/W2120645149","https://openalex.org/W2121328407","https://openalex.org/W2122322088","https://openalex.org/W2122328334","https://openalex.org/W2124011650","https://openalex.org/W2124541929","https://openalex.org/W2127499533","https://openalex.org/W2127529796","https://openalex.org/W2129518019","https://openalex.org/W2133223545","https://openalex.org/W2137775714","https://openalex.org/W2143180186","https://openalex.org/W2146682040","https://openalex.org/W2147853013","https://openalex.org/W2151158259","https://openalex.org/W2151681248","https://openalex.org/W2152401910","https://openalex.org/W2153222072","https://openalex.org/W2157073858","https://openalex.org/W2158245880","https://openalex.org/W2158933972","https://openalex.org/W2159837126","https://openalex.org/W2162859266","https://openalex.org/W2165344440","https://openalex.org/W2167091097","https://openalex.org/W2169869070","https://openalex.org/W2262736290","https://openalex.org/W2302801215","https://openalex.org/W2341354435","https://openalex.org/W2410109976","https://openalex.org/W2411636654","https://openalex.org/W2413311770","https://openalex.org/W2414843344","https://openalex.org/W2416596596","https://openalex.org/W2438608893","https://openalex.org/W2530036466","https://openalex.org/W2916641690","https://openalex.org/W3193532866"],"related_works":["https://openalex.org/W2101979161","https://openalex.org/W7215451643","https://openalex.org/W2913830922","https://openalex.org/W2225278546","https://openalex.org/W2151681248","https://openalex.org/W1974445725","https://openalex.org/W2007262019","https://openalex.org/W2079532637","https://openalex.org/W2063734840","https://openalex.org/W2114421551"],"abstract_inverted_index":{"Management":[0],"of":[1,5,17,26,33,37,49,64,98,106,129,133,145,149,187,201,207,257,260,264,313,369,395,399,404,437,465,481],"the":[2,15,34,91,96,103,130,146,160,199,242,258,261,272,288,367,402,411,431,438,443,449,471,513],"third":[3,35,104,131,147,243,262],"stage":[4,36,105,132,148,263],"labour":[6,38,107,134,150],"and":[7,39,46,55,78,86,110,177,194,209,217,275,320,347,364,371,397,429,448,474,497,530,536],"risk":[8,318,508],"factors":[9],"for":[10,19,457,509,519],"blood":[11,44,360,380,405,495],"loss":[12,45,381,389,496],"have":[13,505],"been":[14],"focus":[16,251],"investigation":[18],"a":[20,53,56,119,163,311,340,506],"long":[21],"time.":[22],"The":[23,68,80,152,205,266,359,378,435],"overall":[24],"aim":[25],"this":[27,66],"thesis":[28,486],"was":[29,108,211,308,333,362,382,440,455,468],"to":[30,113,138,192,195,227,277,322,352,373,492],"investigate":[31],"management":[32,128,144,259,307,482],"its":[40],"infl":[41],"uence":[42],"on":[43,310],"women\u2019s":[47],"experience":[48,63,464],"afterpains":[50,208,238,439],"in":[51,72,76,94,175,183,213,247,250,270,294,301,339,343,384,393,463,524,528,533],"both":[52,527,534],"low-":[54,535],"high-income":[57,302,537],"country,":[58],"as":[59,61],"well":[60],"midwives\u2019":[62],"managing":[65],"stage.":[67],"studies":[69,83],"were":[70,88,136,154,284,350,418],"performed":[71,89],"hospital-based":[73],"sett":[74],"ings":[75],"Angola":[77,529],"Sweden.":[79],"first":[81],"two":[82,114,336,374,412,425,472],"(Papers":[84,345],"I":[85],"II)":[87],"at":[90,335,366,420,424],"University":[92],"Hospital":[93],"Luanda,":[95],"capital":[97],"Angola.":[99],"Blood":[100,388],"lost":[101,361],"during":[102],"collected":[109,363],"measured":[111,365],"up":[112,372],"hours":[115,375,426],"post":[116,376],"partum.":[117,377],"In":[118,241],"prospective,":[120],"comparative":[121],"study,":[122,244],"782":[123],"parturients":[124,140],"handled":[125,141],"with":[126,142,159,298,442,451],"expectant":[127],"(EMTSL)":[135],"compared":[137,212],"814":[139],"active":[143],"(AMTSL).":[151],"latter":[153],"given":[155],"10":[156],"IU":[157],"oxytocin":[158],"Un\u0133":[161],"ect\u2122,":[162],"disposable":[164],"injection":[165],"device.":[166],"Postpartum":[167],"haemorrhage":[168],"(PPH)":[169],"(":[170],"\u2265":[171],"500":[172],"mL)":[173],"occurred":[174,182,392],"40.4%":[176],"severe":[178],"PPH":[179],"(>1000":[180],"ml)":[181],"7.5%":[184],"before":[185],"introduction":[186,200],"AMTSL.":[188],"These":[189],"figures":[190],"declined":[191],"8.2%":[193],"1%,":[196],"respectively,":[197],"after":[198,427,433],"AMTSL":[202,232,291,354,396,489,516],"(Paper":[203,239,326,414,483],"I).":[204],"occurrence":[206],"discomfort":[210],"51":[214,218],"expectantly":[215],"managed":[216,220,386],"actively":[219,385],"women.":[221,387],"Verbal":[222],"Rating":[223],"Scale":[224,446],"(VRS)":[225],"responses":[226],"semi-structured":[228],"questions":[229],"showed":[230],"that":[231,290,488,515],"did":[233,407],"not":[234,408,499],"cause":[235],"significantly":[236,493],"more":[237],"II).":[240],"experienced":[245],"midwives":[246,267],"Sweden":[248,344],"participated":[249],"group":[252],"discussions":[253],"concerning":[254,306],"their":[255],"experiences":[256],"labour.":[265],"exhibited":[268],"self-confidence":[269],"evaluating":[271],"physiological":[273],"process":[274],"endeavoured":[276],"leave":[278],"it":[279],"undisturbed":[280],"if":[281],"no":[282],"risks":[283],"apparent,":[285],"thus":[286],"questioning":[287],"recommendation":[289],"be":[292],"implemented":[293],"all":[295],"healthy":[296],"women":[297,504,520],"normal":[299],"deliveries":[300],"countries.":[303],"Their":[304],"decision-making":[305],"based":[309],"combination":[312],"previous":[314],"experience,":[315],"hospital":[316,342,525],"guidelines,":[317],"assessment":[319],"sensitivity":[321],"each":[323],"woman\u2019s":[324],"needs":[325],"III).":[327],"A":[328,460],"randomised":[329,351],"controlled":[330],"trial":[331],"(RCT)":[332],"conducted":[334],"delivery":[337,370,428],"units":[338],"university":[341],"IV":[346],"V).":[348,484],"Women":[349],"either":[353],"(n=903)":[355],"or":[356],"EMTSL":[357],"(n=899).":[358],"time":[368],"mean":[379],"less":[383,494],">1000":[390],"mL":[391],"10%":[394],"16.8%":[398],"EMTSL,":[400],"although":[401],"number":[403],"transfusions":[406],"differ":[409],"between":[410,470],"groups":[413,473],"IV).":[415],"After":[416],"pains":[417],"assessed":[419,441],"four":[421],"occasions:":[422],"twice":[423,430],"day":[432],"delivery.":[434],"intensity":[436],"Visual":[444],"Analogue":[445],"(VAS)":[447],"Pain-o-Meter":[450],"Word":[452],"Descriptors":[453],"(POM-WDS)":[454],"used":[456],"describing":[458],"afterpains.":[459,501],"significant":[461],"difference":[462],"aft":[466],"erpains":[467],"detected":[469],"multiparas":[475],"scored":[476],"higher":[477,507],"than":[478],"primiparas,":[479],"irrespective":[480],"This":[485,511],"demonstrates":[487],"is":[490,517],"related":[491],"does":[498],"aggravate":[500],"Furthermore,":[502],"nulliparous":[503],"PPH.":[510],"supports":[512],"standpoint":[514],"appropriate":[518],"giving":[521],"birth":[522],"vaginally":[523],"settings,":[526],"Sweden,":[531],"i.e.":[532],"settings.":[538]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2016-06-24T00:00:00"}
