Birth 3

Question 1

Name the three phases of the third stage of labour

Answer 1

Latent phase
Detachment phase
Expulsion phase

Question 2

Which part of third stage does this describe; uterine wall thickens due to intermittent contractions, but not over the placental attachment part

Answer 2

Latent phase

Question 3

What blood structure forms behind the placenta during the first stage, ready for expulsion?

Answer 3

retroplacental clot

Question 4

Name three ways of noticing the third stage beginning;

Answer 4

uterus may lift
chnage in blood loss
umbillical cord will lengthen

Question 5

What three drugs are used for active management of the third stage?

Answer 5

ergometrine, syntometrine and syntocinon

Question 6

How long should be given after birth for the placenta to be delivered physiologically, before we should consider active management?

Answer 6

1 hour, start to have discussions after 30 minutes

Question 7

What method should be used to guide the placenta out in active management?

Answer 7

Cord traction

Question 8

What is one risk if a hand is not placed on the abdomen during the procedure of cord traction?

Answer 8

Uterine inversion

Question 9

How long should we leave the cord after birth if performing cord traction?

Answer 9

at least 1 minute