Thursday, July 25, 2024

ACTIVE MANAGEMENT OF THE 3RD STAGE OF LABOUR

Table of Contents

REQUIREMENTS #

Use second stage trolley

STEPS #

  1. Palpate to rule out undiagnosed second twin
  2. Explain procedure to client (refer steps)
  3. Observe and maintain infection prevention techniques throughout procedure
  4. Ensure bladder is emptied
  5. Place cut end of cord into a sterile receiver
  6. Place the left palm on fundus to feel for contraction and push uterus
  7. Release the forceps and clamp cord closer to the vulva
  8. Hold the forceps horizontally and apply downward and outward traction on the cord
  9. Receive placenta into both hands and tease membranes out
  10. Examine placenta and membranes for completeness
  11. Rub up uterus to expel clots and to initiate contraction
  12. Examine the genital tract for any tears
  13. Estimate blood loss
  14. Tidy up client, apply clean perineal pad
  15. Congratulate her for her effort
  16. Make client comfortable or move client into 4th stage room
  17. Record findings throughout procedure and report to the in-charge