active management of third stage of labour€¦ · active management of third stage of labour...
Post on 14-Aug-2020
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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
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