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