Outline 3 components of active management of third stage of labour?

1. Administration of uterotonic drugs: One component of active management of the third stage of labour is the administration of uterotonic drugs, such as oxytocin or misoprostol, to help the uterus contract and prevent postpartum hemorrhage. These drugs can be given either as a prophylactic measure immediately after the delivery of the baby or as a therapeutic measure if excessive bleeding occurs.

2. Controlled cord traction: Another component of active management is the use of controlled cord traction, which involves gently pulling on the umbilical cord to assist in the delivery of the placenta. This technique can help to reduce the risk of retained placenta and postpartum hemorrhage by ensuring that the placenta is expelled in a timely manner.

3. Uterine massage: Uterine massage is also an important component of active management of the third stage of labour. This involves gently massaging the uterus to help it contract and expel any remaining blood clots or tissue. Uterine massage can help to prevent postpartum hemorrhage and promote the efficient completion of the third stage of labour.

3 Components of Active Management of Third Stage of Labour:

1. Controlled Cord Traction:
- Gentle traction is applied to the umbilical cord while the woman pushes down during contractions.
- This helps to deliver the placenta without the need for manual removal.

2. Uterine Massage and Fundal Pressure:
- Firm massage of the uterus after the placenta has been delivered helps to promote uterine contractions.
- Fundal pressure helps to control bleeding and prevent uterine inversion.

3. Administration of Uterotonics:
- Drugs such as oxytocin or ergometrine are administered after the placenta is delivered to stimulate uterine contractions and reduce bleeding.
- These medications help to prevent postpartum hemorrhage and uterine atony.