3rd stage of labour

Question 1

2 aspects of active management of the 3rd stage of labour

Answer 1

1) Administration of IM syntocinon

2) Controlled traction on the cord

Question 2

Benefits of active management

Answer 2

Shortens labour and reduces the risk of bleeding

Question 3

Adverse effects of active management

Answer 3

N+V

Question 4

3 indications for active management of the third stage

Answer 4

routinely offered (no indication required)

Haemorrhage

> 60 minutes of 3rd stage

Question 5

How much syntocinon is given in active management of the third stage?

Answer 5

10IU

Question 6

how long should the delay between delivery of the baby and clamping of the cord be?

what is the exception to this?

Answer 6

between 1 and 3 minutes

if the baby needs resuscitation this takes precedent

Question 7

what is the technique involved in controlled cord traction?

Answer 7

the cord is carefully pulled unless there is resistance

at the same time, the other hand pushes the uterus upwards to prevent a prolapse

Question 8

helps to ensure that the uterus contracts properly after delivery

Answer 8

uterine massage

Question 9

why do we check that the placenta is complete after delivery?

Answer 9

RPOC can lead to infection and PPH