active management of third stage of labour€¦ · active management of third stage of labour...

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Active Management of Third Stage of Labour (AMTSL) l Mandatory for all deliveries (vaginal and abdominal) l Exclude presence of another baby after delivery of first baby Step 2 l and cord is cut l Apply cord traction (pull) downwards and give counter-traction with other hand by pushing uterus up towards umbilicus Controlled cord traction once uterus is contracted Inj. Oxytocin 10 units IM immediately after birth Step 1 Uterine massage to keep uterus contracted Step 3 For use in medical colleges, district hospitals and FRUs

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Page 1: Active Management of Third Stage of Labour€¦ · Active Management of Third Stage of Labour (AMTSL) lMandatory for all deliveries (vaginal and abdominal) lExclude presence of another

Active Management ofThird Stage of Labour

(AMTSL)

l Mandatory for all deliveries (vaginal and abdominal)

l Exclude presence of another baby after delivery of first baby

Step 2 l

and cord is cut

l Apply cord traction (pull) downwards and give counter-traction with other hand by pushing uterus up towards umbilicus

Controlled cord traction once uterus is contracted

Inj. Oxytocin 10 units IM immediately after birth Step 1

Uterine massage to keep uterus contractedStep 3

For use in medical colleges, district hospitals and FRUs