Active management of the third stage of labor: A brief overview of key issues

Kemal Güngördük1, Yusuf Olgaç2, Varol Gülseren3

  • 1Muğla Sıtkı Koçman University, Training and Research Hospital, Clinic of Gynecology and Oncology, Muğla, Turkey.

Postpartum hemorrhage is a potentially life-threatening, albeit preventable, condition that persists as a leading cause of maternal death. It occurs mostly during the third stage of labor, and active management of the third stage of labor (AMTSL) can prevent its occurrence. AMTSL is a recommended series of steps, including the provision of uterotonic drugs immediately upon fetal delivery, controlled cord traction, and massage of the uterine fundus, as developed by the World Health Organization. Here, we present current opinion and protocols for AMTSL.

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