ACTIVE MANAGEMENT OF THIRD STAGE OF LABOUR

BY

Lenard Gama

Rhodeny Chaula

Emmanuel Kamuyango

2ND Year BSc (Hons) International Obstetrics and leadership

objective• By the end of the session participants

should be able to understand and 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.• 1st clamp -2 fingers above the abdomen.• 2nd 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. McDonald. Et. Al. (1993). RCT of oxytocin vs. oxytocin-ergomentrin.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.