Active Management of Third Stage of Labour - Components and Procedures

This session focuses on understanding the active management of the third stage of labour. It covers essential components like early clamping and cutting of the cord, the use of oxytocin, and controlled cord traction. By the end of the session, participants should have a good grasp of these key practices for a successful third stage of labour.

• Labour management
• Obstetrics
• Third stage
• Active management
• Oxytocin

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Uploaded on Aug 15, 2024 | 1 Views

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

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

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

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

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

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

7. 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

8. summary THANK YOU.