In Holland we do both passive and active. Passive management of the third stage in this country is guiding the cord and support the muscles of the stomach while 'mom' pushes it out. I saw someone naming that CCT in this topic, but for us CCT is pulling the placenta out by the cord and pushing the fundus down. Active management is giving 5 or 10 IE syntocinon im, sometimes in combination with CCT. In hospitals active management is protocol, at home we do 'what we want'. Indications for active management are long labours, blood loss, shoulder dystocia, or if the placenta doesnt want to come naturally. In other words: the woman does not get the choice, if neccesary she gets the medicine.
I read you give syntometrine? I don't know if that's the same as syntocinon. We have syntocinon and ergometrine (only if the placenta is already born, against severe blood loss).