Procedure: Active Management of the Third Stage of Delivery | Strongly Agree (S/A) | Agree (A) | Strongly Disagree (S/D) | Disagrees (D) | No Decision (N/D) | |
1. | After delivering the first baby, palpate the abdomen and rule out the presence of another fetus before continuing? |
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2. | Administer 10 units of IM oxytocin after delivery of the anterior shoulder |
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3. | Administer 10 units of IM oxytocin immediately after delivery of the placenta |
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4. | If oxytocin is not available, administer 0.5 mg of Ergometrine IM |
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5. | If oxytocin is not available, administer 600 µg of Misoprostol per os (PO) |
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6. | Clamp and cut the cord after 1 - 3 minutes following delivery of the baby |
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7. | Clamp and cut the cord in less than 1 minute if the baby is asphyxiated |
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8. | Wait for a strong uterine contraction (2 - 3 minutes) before delivering the placenta |
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9. | Wait for a gush of blood before applying controlled cord traction (CCT) |
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10. | Controlled cord traction (CCT) is done during the contraction |
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11. | The placenta is supported with both hands following its delivery |
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12. | Extraction of the placental membranes is done gently with lateral (clockwise) movements |
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13. | Uterine massage is done immediately after delivery of the placenta |
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14. | Examine the placenta for completeness following its delivery |
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15. | Uterine massage is done every 15 mins in the first hour, then every 30 mins in the next hour following delivery of the placenta |
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