ACTIVE MANAGEMENT OF THE THIRD STAGE OF LABOUR – New WHO Recommendations Help to Focus Implementation (2012) World Health Organization

Description

This document reviews the World Health Organization (WHO) 2012 guidelines for the Active Management of the Third Stage of Labour (AMTSL). It outlines key recommendations, emphasizing that the use of uterotonics (specifically Oxytocin) is recommended for all births to prevent postpartum haemorrhage (PPH). It evaluates the role of Controlled Cord Traction (CCT), suggesting its use depends on the availability of skilled attendants and its effectiveness primarily in reducing the duration of the third stage, not necessarily blood loss compared to uterotonics alone. Postpartum abdominal uterine tonus assessment is also recommended.