"CONCLUSION: This study suggests that 'holistic psychophysiological
care' in the third stage labour is safe for women at low risk of
postpartum haemorrhage. 'Active management' was associated with a seven
to eight fold increase in postpartum haemorrhage rates for this group of
women. Further prospective observational evaluation would be helpful in
testing this association."
Just read this and will look into it a bit more when I have time (what was the "holistic psycho-physiological management, was it a homogeneous approach or did it comprise a variety of practices? I personally have found that a number of approaches work equally well, depending on the woman, her position, where the placenta is, how long the third stage has lasted, maternal effort/tiredness etc) but it should certainly affect practice and the information given to women with regard to active management.