Active Management Of Third Stage Of Labour Flow Chart
Introduction
The third stage of labour is the period from the birth of the baby until the delivery of the placenta. Active management of the third stage of labour is a process that aims to reduce the risk of postpartum haemorrhage (PPH) by using a combination of interventions to stimulate uterine contractions and assist in the delivery of the placenta. A flow chart is a visual representation of this process that can be used to guide healthcare providers through the steps of active management.
Step 1: Administration of Oxytocin
The first step in active management of the third stage of labour is the administration of oxytocin. Oxytocin is a hormone that stimulates uterine contractions and helps to prevent PPH. It can be given as an injection or as an intravenous infusion. Healthcare providers should follow the recommended dose and timing guidelines for oxytocin administration.
Step 2: Controlled Cord Traction
The second step in active management is controlled cord traction. This involves gentle pulling on the umbilical cord while applying pressure to the uterus to encourage the delivery of the placenta. Healthcare providers should use gentle traction and avoid excessive force, which can increase the risk of uterine inversion.
Step 3: Uterine Massage
The third step in active management is uterine massage. This involves applying gentle pressure to the uterus to encourage contractions and help expel any remaining blood clots. Healthcare providers should use sterile gloves and apply gentle pressure to the uterus in a circular motion.
Step 4: Visual Inspection of the Placenta
The fourth step in active management is visual inspection of the placenta. Healthcare providers should examine the placenta to ensure that it is complete and that there are no missing pieces. Any missing pieces of placenta should be removed to reduce the risk of infection and PPH.
Step 5: Monitoring for PPH
The final step in active management is monitoring for PPH. Healthcare providers should monitor the mother for signs of PPH, such as excessive bleeding, low blood pressure, and increased heart rate. If PPH is suspected, immediate intervention is necessary to prevent further complications.
Conclusion
Active management of the third stage of labour is a proven method for reducing the risk of PPH. A flow chart can be a useful tool for guiding healthcare providers through the steps of active management. By following the steps outlined in the flow chart, healthcare providers can help ensure a safe and successful delivery for both mother and baby.