scholarly journals Improvement in the active management of the third stage of labor for the prevention of postpartum hemorrhage in Tanzania: a cross-sectional study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Dunstan R. Bishanga ◽  
John Charles ◽  
Gaudiosa Tibaijuka ◽  
Rita Mutayoba ◽  
Mary Drake ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Cross Sectional Study ◽  
Active Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage

The current state of active third stage management to prevent postpartum hemorrhage: a cross-sectional study

2013 ◽  
Vol 92 (11) ◽  
pp. 1277-1283 ◽  
Author(s):  
Babette W. Prick ◽  
Amber A. Vos ◽  
Wim C.J. Hop ◽  
Henk A. Bremer ◽  
Eric A.P. Steegers ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Cross Sectional Study ◽  
Stage Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Current State ◽  
Third Stage

scholarly journals Active management of the third stage of labour: knowledge and challenges of obstetric caregivers in selected health facilities in Fako Division, Cameroon

2021 ◽  
Author(s):  
William Ntchompbopughu Tih ◽  
Egbe Obinchemti Thomas ◽  
Tendongfor Nicholas
Keyword(s):  
Maternal Mortality Ratio ◽  
Logistic Models ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Active Management ◽  
Good Knowledge ◽  
Cross Sectional ◽  
The Third ◽  
Third Stage ◽  
Mortality Ratio

Abstract Background: In Cameroon, the decrease in MMR (Maternal Mortality Ratio) from PPH (Postpartum Haemorrhage) despite reported use of the Active Management of the Third Stage of Labour (AMTSL) is slower than required to achieve the Third Sustainable Development Goal (SDG3) hence the need to question obstetric caregivers’ competence in AMTSL, as well as the factors hindering its proper useWe therefore aimed to assess obstetric caregivers’ knowledge about AMTSL, as well as the determinants and barriers of AMTSL in selected hospitals in Fako Division, Cameroon.Methods: This was a hospital-based cross-sectional study of 150 participants recruited in 27 health facilities in Buea, Limbe and Tiko health districts from January 15, 2020, to March 31, 2020. Participants’ socio-demographic and qualification characteristics, knowledge and challenges, and the references guiding their practice of AMTSL were collected using a structured questionnaire. AMTSL knowledge was categorized as poor or good and the determinants of good AMTSL knowledge were evaluated. The data was analyzed in SPSS version 25.0. Results: Of the 150 caregivers interviewed, only 48.7% had good knowledge of AMTSL. In logistic models, participants’ use of AMTSL increased Good knowledge of AMTSL (AOR: 12.96, CI: 1.12 -150.3, p=0.04). Unavailability of drugs and/or equipment, insufficient staff coverage and lack of knowledge and training of the staff were the major challenges reported. Conclusion: Obstetric caregivers in Fako division have knowledge gaps and face numerous challenges in AMTSL use, which could account for the consistently high MMR from PPH. Filling this knowledge gap and mitigating the challenges of these caregivers would certainly accelerate progress towards the achievement of SDG3.

scholarly journals Assessment of Midwife Knowledge, Practice, and Associated Factors towards Active Management of the Third Stage of Labor at Governmental Health Institutions in Tigray Region, Northern Ethiopia, 2018

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Getu Engida Wake ◽  
Girma Wogie
Keyword(s):  
Postpartum Hemorrhage ◽  
Active Management ◽  
Knowledge Level ◽  
Practice Level ◽  
Tigray Region ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Knowledge Practice ◽  
Health Institutions

Introduction. Globally, postpartum hemorrhage is the most common cause of maternal mortality and morbidity, and it accounts for more than 25% of all maternal deaths. The majority of death due to postpartum hemorrhage is caused by uterine atony. Routine and correct usage of active management of the third stage of labor decreases the occurrence of postpartum hemorrhage by 60% when compared to expectant management of the third stage of labor. The purpose of this study was to assess midwife knowledge, practice, and associated factors towards active management of the third stage of labor at governmental health institutions in the Tigray region, 2018. Results. These study results showed that from the total study participants ( N = 278 ), 170 (61.2%) were good in knowledge and 121 (43.5%) were good in practice towards active management of the third stage of labor. Training related to active management of the third stage of labor ( AOR = 2.119 , 95 % CI = 1.141 , 3.3937) and practice level of midwives ( AOR = 8.089 , 95 % CI = 4.103 , 15.950) became significantly associated with the knowledge level. The educational level of midwives ( AOR = 3.811 , 95 % CI = 2.015 , 7.210), training related to active management of the third stage of labor ( AOR = 2.591 , 95 % CI = 1.424 , 4.714), and knowledge level of midwives towards active management of the third stage of labor ( AOR = 7.324 , 95 % CI = 3.739 , 14.393) were significantly associated with the practice level. This study showed that training related to active management of the third stage of labor was significantly associated with the knowledge and practice level of midwives. The educational level and knowledge level of midwives were significantly associated with the practice level of midwives towards active management of the third stage of labor. Therefore, midwives should update their academic level and knowledge. Health institutions in collaboration with the Tigray Regional Health Bureau should arrange training for all midwives to bring change.

scholarly journals Reduced postpartum hemorrhage after implementation of active management of the third stage of labor in rural Honduras

2012 ◽  
Vol 119 (3) ◽  
pp. 217-220 ◽  
Author(s):  
Lisa Kane Low ◽  
Joanne Motino Bailey ◽  
Emma Sacks ◽  
Chayla Robles ◽  
Lilian Medina
Keyword(s):  
Postpartum Hemorrhage ◽  
Active Management ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage

Active Management of the Third Stage of Labor With a Combination of Oxytocin and Misoprostol to Prevent Postpartum Hemorrhage

2016 ◽  
Vol 128 (4) ◽  
pp. 805-811 ◽  
Author(s):  
Thibaud Quibel ◽  
Idir Ghout ◽  
François Goffinet ◽  
Laurent J. Salomon ◽  
Julie Fort ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Active Management ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage

scholarly journals Rectal Misoprostol versus Intramuscular Oxytocin for Prevention of Post Partum Hemorrhage

2012 ◽  
Vol 9 (1) ◽  
pp. 8-12 ◽  
Author(s):  
A Shrestha ◽  
A Dongol ◽  
C D Chawla ◽  
R Adhikari
Keyword(s):  
Side Effects ◽  
Outcome Measures ◽  
Postpartum Hemorrhage ◽  
Expectant Management ◽  
Active Management ◽  
Secondary Outcome ◽  
The Third ◽  
Third Stage Of Labor ◽  
Significant Difference ◽  
Third Stage

Background Postpartum hemorrhage (PPH) is an important cause of maternal morbidity and mortality especially in the developing countries. Compared to expectant management, active management decreases the incidence of PPH. Objective To compare the effectiveness of rectal misoprostol with intramuscular oxytocin in the prevention of postpartum hemorrhage. Methods This is a prospective, randomized and analytical study from 1stSeptember 2009 to 28th February 2010 at Department of Obstetrics and Gynecology, Dhulkhel Hospital - Kathmandu University Hospital, Dhulikhel, Nepal. A total of 200 women were included to receive either 1000 micrograms rectal misoprostol tablets or 10 units of oxytocin intramuscularly. Primary outcome measures were the incidence of postpartum hemorrhage or a change in hematocrit or hemoglobin from admission to day two post delivery. Secondary outcome measures including severe postpartum hemorrhage and the duration of the third stage of labor were noted. Also the side effects of both misoprostol and oxytocin were recorded. Results The frequency of postpartum hemorrhage was 4% in the misoprostol subjects and 6% in the control subjects (P=0.886) There were no significant difference among the groups in the drop of hematocrit (P>0.05). Secondary outcome measures including severe postpartum hemorrhage and the duration of the third stage of labor were similar in both groups. Similarly, the side effects between the misoprostol and oxytocin group within 6 hours was statistically significant (p=0.003) whereas the side effects within 24hours was statistically not significant (p=0.106). ConclusionRectal misoprostol is as effective as intravenous oxytocin in preventing postpartum hemorrhage with the similar incidence of side effects and is worthwhile to be used as a uterotonic agent for the routine management of third stage of labor.http://dx.doi.org/10.3126/kumj.v9i1.6254 Kathmandu Univ Med J 2011;9(1):8-12 

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