ACTIVE MANAGEMENT OF THIRD STAGE OF LABOUR BY

ACTIVE MANAGEMENT OF THIRD STAGE OF LABOUR BY Lenard Gama Rhodeny Chaula Emmanuel Kamuyango 2 ND Year BSc (Hons) International Obstetrics and leadership

objective • By the end of the session participants should be able to understand describe components of active management of third stage of labour

• Third stage of labour is the period after delivery of the baby to the delivery of the placenta.

Components of active management of labour 1. Early clamping and cutting of the cord 2. Use of oxytocin 3. Controlled cord traction.

Early clamping and cutting of umbilical cord • Wait to clamp 1 minute up to 3 minutes. • 1 st clamp -2 fingers above the abdomen. • 2 nd clamp – 5 fingers above the abdomen • The cut in between.

Use of oxytocin • Appropriate prophylactic. • Palpate the abdomen, rule out the presence of an additional baby(ies). • Give oxytocin 10 units, intramuscular. Susan J. Mc. Donald. Et. Al. (1993). RCT of oxytocin vs. oxytocinergomentrin. BMJ ; 307: 1171 -6

Controlled cord traction • Hold the clumped cord and the end of the forceps with one hand. • Place the other hand just above the womans pubic bone. • Wait for contraction • Stabilise the uterus by applying counter traction during the gentle traction. RCOG. 2007

summary • THANK YOU.