stages of labour Flashcards
what is the third stage of labour
Definition
The third stage of labour begins at delivery of the foetus and ends with delivery of the placenta and foetal membranes.
Generally, it lasts 30 minutes to an hour when allowed to occur naturally or 5-10 minutes with administration of oxytocin.
signs of third stage of labour
Signs
Signs of placental separation and imminent placental delivery:
Gush of blood
Lengthening of the umbilical cord
Ascension of the uterus in the abdomen
mangement of third stage of labour
Management
The delivery of the placenta is commonly managed manually by controlled cord traction. This must be gentle, or else there is increased risk of causing complications such as uterine inversion and postpartum haemorrhage.
what tx is given
IM oxytocin first line in active managemetn
tgen syntometrin