1. ACTIVE MANAGEMENT OF THIRD STAGE OF LABOURBY
Lenard Gama
Rhodeny Chaula
Emmanuel Kamuyango
2ND Year BSc (Hons) International Obstetrics and leadership

2. objective
By the end of the session participants should be able to understand and describe components of active management of third stage of labour

3. Third stage of labour is the period after delivery of the baby to the delivery of the placenta.

4. Components of active management of labour
Early clamping and cutting of the cord
Use of oxytocin
Controlled cord traction.

5. 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.

6. 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

7. 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

8. summary
THANK YOU.