AMTSLActive Management of the Third Stage of Labor (childbirth)
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Routine management of third stage of labor was done by AMTSL in both groups according to standard recommendation of third stage of labor by giving2.
The program had two components: strengthening the use of AMTSL by skilled providers in health facilities; and introducing misoprostol administration by trained ASMs to eligible women immediately after a delivery at home.
According to WHO recommendations, there are 3 important steps in AMTSL which include; 1) uterotonics agents, preferably oxytocin, immediately after the delivery of the baby, 2) clamping and cutting of cord immediately after delivery of the baby to enhance placental separation and then controlled cord traction (CCT) for delivery of the placenta; 3) massage of uterine fundus after delivery of placenta.
By shortening the time between childbirth and placental delivery, AMTSL reduces the mother's blood loss.
It was emphasised that implementing evidence-based practice must also take into consideration the needs and wants of the patient/woman, for example, identifying culturally sensitive ways to implement AMTSL when a woman desires an upright birthing position.
Agency for International Development (USAID)-funded Maternal and Neonatal Health Global Programme, implemented by the JHPIEGO Corporation, USA, selected AMTSL as a priority intervention in these two countries.
The conference ended with the Signing Ceremony on the Joint Statement on AMTSL between the Vietnam OB/GYN/FP Association and the Vietnamese Association of Midwives.
Although study on placental transfusion rate and uterine contraction, effect of gravity on placental transfusion, distribution of blood between fetus and placenta after birth, necessity of clamping and dividing cord influence of breast feeding and nipple stimulation on post-partum uterine activity and AMTSL to prevent P.
The joint statement by ICM and FIGO, first issued in 2003, which emphasises the need for birth attendants to be able to offer AMTSL to save mothers' lives, was the guideline for teaching at this workshop.
Support professional associations for the launch of the Joint ICM/FIGO statement on AMTSL