0 | 1 | 2 | |
Uterotonic injection | |||
1) Check the uterus for the presence of a second baby | 0 | 0 | 528 |
2) Administter 10 UI of ocytocin intramuscularly | 0 | 0 | 528 |
Controlled pull on the cord | |||
3) Clamp the umbilical cord close to perineum and hold the cord in one hand | 1 | 368 | 159 |
4) Stabilise the uterus by applying counter-pressure to the abdomen | 0 | 439 | 89 |
5) Await a strong uterine contraction | 3 | 501 | 24 |
6) Gently hold the cord and controlled cord traction with counter-pressure | 68 | 318 | 142 |
7) Hold the placenta in two hands and gently turn it until the membranes are twisted | 16 | 321 | 191 |
8) Place the placenta in a bowl | 194 | 234 | 100 |
Uterine massage | |||
9) Immediatly after placental delivery, start massaging the uterus till uterus is hard | 2 | 200 | 326 |
10) Check that the uterus does not become relaxed after stopping uterine massage | 4 | 503 | 21 |
11) Repeat intermittently for 1 - 2 hours | 8 | 492 | 28 |
Complementary actions | |||
12) Examine the placenta to make sure it is complete | 16 | 317 | 195 |
13) Examine the woman’s vagina, perineum and external genitalia for lacerations and active bleeding | 12 | 152 | 364 |
14) Helping the mother empty the bladder | 108 | 207 | 213 |
15) Closely monitor for first 6 hours | 1 | 524 | 3 |
-Constants: pulse, blood pressure, température | |||
-Uterinehardness, Vaginal bleeding | |||
-Status of the parturient |