scholarly journals Active management of third stage of labour with special reference to misoprostol

2017 ◽  
Vol 6 (11) ◽  
pp. 4744
Author(s):  
Mariyam S. Ahmed ◽  
Anand N. Bhalerao
Keyword(s):  
Special Reference ◽  
Postpartum Hemorrhage ◽  
Healthcare Providers ◽  
Active Management ◽  
Cord Clamping ◽  
Poor Access ◽  
Third Stage ◽  
Prevention And Treatment ◽  
Routine Prophylaxis ◽  
Controlled Cord Traction

Active management of third stage of labour is an effective method of preventing postpartum hemorrhage. It includes administration of uterotonic immediately after delivery of the baby, delaying cord clamping for at least 1-3 minutes to reduce rates of infant anaemia, performing controlled cord traction for removing the placenta and postpartum vigilance, ie, assess the uterine tone to ensure a contracted uterus; and continue to check every 15 minutes for 2 hours. If there is uterine atony, fundal massage should be performed and patient should be monitored more frequently. Though oxytocin is the best drug for routine prophylaxis, misoprostol is a relatively newer drug which is now included in the various guidelines for prevention and treatment of postpartum hemorrhage. It can be used as an effective and safe drug in areas with poor access to skilled healthcare providers and facilities.

Active Management of the Third Stage of Labour: Prevention and Treatment of Postpartum Hemorrhage

2009 ◽  
Vol 31 (10) ◽  
pp. 980-993 ◽  
Author(s):  
Dean Leduc ◽  
Vyta Senikas ◽  
André B. Lalonde ◽  
Dean Leduc ◽  
Charlotte Ballerman ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Active Management ◽  
The Third ◽  
Third Stage ◽  
Prevention And Treatment

Active management of the third stage of labour: Prevention and treatment of postpartum hemorrhage

2009 ◽  
Vol 108 (3) ◽  
pp. 258-267 ◽  
Author(s):  
Dean Leduc ◽  
Vyta Senikas ◽  
André B. Lalonde ◽  
Dean Leduc ◽  
Charlotte Ballerman ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Active Management ◽  
The Third ◽  
Third Stage ◽  
Prevention And Treatment

scholarly journals Active management of the third stage of labour with and without controlled cord traction: a randomised, controlled, non-inferiority trial

The Lancet ◽  
2012 ◽  
Vol 379 (9827) ◽  
pp. 1721-1727 ◽  
Author(s):  
A Metin Gülmezoglu ◽  
Pisake Lumbiganon ◽  
Sihem Landoulsi ◽  
Mariana Widmer ◽  
Hany Abdel-Aleem ◽  
...  
Keyword(s):  
Active Management ◽  
The Third ◽  
Third Stage ◽  
Controlled Cord Traction ◽  
Randomised Controlled

scholarly journals Active management of third stage of labor

1970 ◽  
Vol 1 (2) ◽  
pp. 25-27
Author(s):  
Meena Thapa ◽  
Rachana Saha ◽  
Sumita Pradhan ◽  
Sushil Thakur ◽  
Archan Shamsher Rana
Keyword(s):  
Blood Loss ◽  
Post Partum ◽  
College Teaching ◽  
Uterine Atony ◽  
Active Management ◽  
Retained Placenta ◽  
Average Blood Loss ◽  
Cord Clamping ◽  
Third Stage Of Labor ◽  
Third Stage

Objective: Overall objective of the study was to see effects of active management of third stage of labour (AMSTL) with oxytocin. Specific objective of the study was to look for incidence of Post-Partum Haemorrhage (PPH), length of 3rd stage, incidence of retained placenta and average blood loss. Methodology: A hospital based prospective, descriptive, observational study was carried out from 1st July 2005 to 30th June 2006 at department of Obstetrics and Gynaecology, Kathmandu Medical College Teaching Hospital (KMCTH). All patients undergoing vaginal delivery excluding twins, polyhydraminios and instrumental deliveries were included in the study. The active management of 3rd stage included administration of 10 units IU of oxytocin, early cord clamping, controlled cord traction and uterine massage. Blood loss was estimated by visual inspection and measured by jar pressed against perineum. Result: Total number of deliveries during the study period was 530. There were 13 cases of PPH. Incidence of PPH was 2.4%. There were six cases each of uterine atony and genital tract trauma. One case was of retained placenta requiring Manual Removal (MRP). Average third stage duration was less than 5 minutes. Average blood loss was 90 ml. In 2 cases the third stage lasted more than 30 mins. Conclusion: Active management of 3rd stage of labour reduces the incidence of PPH from uterine atony, reduces the duration as well as average blood loss during third stage.condition. Key words: Labor analgesia; epidural, combined spinal epidural; complications, dural puncture, postdural puncture headache (PDPH); prevention.   doi:10.3126/njog.v1i2.1490 N. J. Obstet. Gynaecol Vol. 1, No. 2, p. 25 - 27 Nov-Dec 2006

scholarly journals HUBUNGAN PELATIHAN DENGAN PERILAKU BIDAN DALAM MELAKUKAN PENCEGAHAN PENDARAHAN POSTPARTUM DI KABUPATEN BANTUL

2019 ◽  
Vol 8 (1) ◽  
pp. 15-20
Author(s):  
Diah Nur Anisa ◽  
Detty S Nurdiati ◽  
Wiwin Lismidiati
Keyword(s):  
Postpartum Hemorrhage ◽  
Health Workers ◽  
Preventive Measure ◽  
Sampling Technique ◽  
Correlation Study ◽  
Active Management ◽  
P Value ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Third Stage

Background: Postpartum  hemorrhage is define as 500 cc or more bleeding after the completion of third stage (after the placenta is born). Maternal mortality due to postpartum  hemorrhage occurs a lot in health services, one of the factors that influence it is the behavior of health workers in the prevention of postpartum  hemorrhage. The behavior of midwives in preventing postpartum  hemorrhage is closely related to the competencies seen from the training attended. Objective: To find out the relationship between training and the behavior of midwives in preventing postpartum  hemorrhage in Bantul Regency. Methods: We used a correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five community health centers. Retrieval of data in this study used an observation sheet to see the actions of midwives in conducting active management in the third stage as a preventive measure for postpartum  bleeding and the identity sheet of respondents to see the training that had been attended by midwives. Results: There was no relationship between training with the behavior of midwives in the prevention of postpartum  hemorrhage in Bantul Regency with a p value of 0.093. A total of 40 midwives (58.8%) had good behavior and 53 midwives (77.9%) had attended training. Conclusion: There is no training relationship with the behavior of midwives in the prevention of postpartum  hemorrhage in Bantul Regency   Keywords: Behavior, hemorrhage, postpartum, training

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