What is not done in third stage of labour as pa of 'Active management of third stage' protocol ?
Third stage of labor The placenta usually is delivered within 5 minutes of the delivery of the infant. - Signs of placental separation o The uterus becomes globular and firm. o There often is a sudden gush of blood. o The uterus rises in the abdomen because the placenta, having separated, passes down into the lower uterine segment and vagina, where its bulk pushes the uterus upward. o The umbilical cord protrudes faher out of the vagina, indicating that the placenta has descended. - Uterine hemostasis. The mechanism by which hemostasis is achieved at the placental site is vasoconstriction, produced by a well contracted myometrium. Intravenous or intramuscular oxytocin (10 U intramuscularly or 20 U in a 1000-mL intravenous bottle), ergonovine (0.2 mg intramuscularly or intravenously), or prostaglandin F2I+- (0.25 mg intramuscularly and repeated if necessary at 15- to 90-minute intervals up to a maximum of eight doses) helps the uterus contract and decreases blood loss. But the drug which is preferred across all the condition presenting in pregnancy, without many complications, is Oxytocin. Hence the drug of choice in this 'Active management of third stage of labour' is Oxytocin. These medications are administered after the placenta has been delivered.
Oxytocin injection
Gentle massage of uterus
Controlled cord traction
Ergometrine injection
Obstetrics