QuestionSBA
QuestionChoice
In active management, the placenta is delivered by controlled cord traction.
49854
c
Allowing the placenta to deliver via uterine contractions
QuestionChoice
Active management of the third stage of labour includes:

1. Injection of a uterotonic drug such as oxytocin
2. Clamping of the cord between 1 and 5 minutes after delivery of the infant
3. Delivery of the placenta by controlled cord traction
49852
a
Intramuscular administration of a uterotonic drug
QuestionChoice
Active management of the third stage of labour includes:

1. Injection of a uterotonic drug such as oxytocin
2. Clamping of the cord between 1 and 5 minutes after delivery of the infant
3. Delivery of the placenta by controlled cord traction
49853
b
Allowing the cord to completely stop pulsing prior to clamping
QuestionChoice
Tocolytic drugs would halt uterine contractions and would not be helpful in the active management of the third stage of labour.
49855
d
Intramuscular administration of a tocolytic drug
QuestionChoice
Immediate skin-to-skin of the infant and the mother is advocated in all uncomplicated deliveries, and does not specifically form part of the management of the third stage of labour.
49856
e
Immediate skin-to-skin of the infant and the mother
Concept
Chapter
# Summary

The third stage of labour is defined as the period beginning at the delivery of the foetus and ending with the delivery of the placenta and foetal membranes. This stage generally lasts from 30 minutes to an hour naturally, or 5-10 minutes with the administration of oxytocin. Key signs of placental separation and imminent placental delivery include a gush of blood, lengthening of the umbilical cord, and ascension of the uterus in the abdomen. Important management strategies involve the gentle, controlled cord traction to deliver the placenta, with care to avoid complications such as uterine inversion and postpartum haemorrhage.

# Definition

The third stage of labour is defined as the period that starts at the delivery of the foetus and concludes with the delivery of the placenta and foetal membranes. Typically, this stage lasts between 30 minutes and an hour when allowed to occur naturally, or between 5-10 minutes if expedited with the administration of oxytocin.

# Management

The third stage of labour is commonly managed by controlled cord traction, a manual method used to deliver the placenta. This procedure must be performed gently to avoid complications such as uterine inversion and postpartum haemorrhage. In cases of a retained placenta, further interventions such as a manual removal or a curettage may be necessary.
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144
Active management of the third stage of labour
Topic
38
Obstetrics
10007
A 22-year-old woman has just delivered a live female infant via spontaneous vaginal delivery. She has opted for active management of the third stage of labour.

Which of the following is involved in active management of the third stage of labour?
a