Which of the following is not included in Active management of III Stage of Labor? (AIPG 2008)
|A||Uterotonic within 1 minute of delivery|
|B||Immediate clamping, cutting and ligation of cord|
|C||General Massage of the uterus|
|D||Controlled cord traction|
Immediate clamping, cutting and ligation of cord
a. Clamping and ligature of cord is done in the second stage of labor and not the third.
b. Active management III stage of labor involves active assistance in delivery of placenta, so as to reduce the chances of post-partum hemorrhage.
2. It includes:
a. Administration of uterotonics like Oxytocin
b. Controlled cord traction
c. General massage of the uterus
i. During active management III stage we have to rule out any incidence of multiple pregnancies and then administer intramuscular oxytocin within one minute of the delivery.
ii. To deliver the placenta, gentle traction on the umbilical cord is put, while the contracted uterus is being held back.
iii. Uterine massage is done to make the uterus go into contraction and facilitate expulsion of any retained clots.