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Active Management of Third Stage of-Labor: Evidence Versus Practice

Authors: Oladapo , Akinola , Fawole , Adeyemi , Adegbola , Loto , Fabanwo , Alao , & SOTUNSA John

Publication Type: Journal article

Journal: Acta Obstetricia At Gynecologica Scandinivia

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Abstract

Abstract Objective. To determine the correct use of active management of third stage of labor (AMTSL) (using the full complement of existing standard de?nitions) and compare the outcomes of thirdstage of laborin women whoreceived AMTSL(according to these de?nitions) with those who did not. Design. Observational, cross-sectional survey. Setting. Seven tertiary centers in southwest Nigeria. Population. Women undergoing non-instrumental vaginal deliveries. Methods. Prospective direct observations of childbirth procedures. AMTSL was de?ned according to Cochrane review, ICM/FIGO (International Confederation of Midwives/International Federation of Gynecology and Obstetrics), and WHO (World Health Organization) recommendations. Main outcome measures. Use of AMTSL and its components and outcome of third stage of labor. Results. There was a high rate of compliance with most of the individual components of AMTSL. The use of AMTSL varied widely with the de?nitionappliedandtendedtodecreasewithincreasingstrictnessofthecriteria(Cochranereview:88.9%;ICM/FIGO:42%; WHO: 1.8%). The frequencies of adverse labor outcomes were generally low (postpartum hemorrhage (PPH): 4.9%; severe PPH: 0.8%;retained placenta: 1.9%; uterine inversion: 0.0%). Frequencies of PPH,postpartum anemia, and mean bloodloss among women who received AMTSL according to the Cochrane review de?nition were signi?cantly lower than for those who did not (p < 0>

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Oladapo,O. Akinola,I. Fawole,A. Adeyemi,A. Adegbola,O. Loto,M. Fabanwo,O. Alao,M. SOTUNSA,J. . (2009). Active Management of Third Stage of-Labor: Evidence Versus Practice, 88 (), 1252-1252.

Oladapo,O. Akinola,I. Fawole,A. Adeyemi,A. Adegbola,O. Loto,M. Fabanwo,O. Alao,M. SOTUNSA,J. . "Active Management of Third Stage of-Labor: Evidence Versus Practice" 88, no (), (2009): 1252-1252.

Oladapo,O. and Akinola,I. and Fawole,A. and Adeyemi,A. and Adegbola,O. and Loto,M. and Fabanwo,O. and Alao,M. and SOTUNSA,J. and . (2009). Active Management of Third Stage of-Labor: Evidence Versus Practice, 88 (), pp1252-1252.

OladapoO, AkinolaI, FawoleA, AdeyemiA, AdegbolaO, LotoM, FabanwoO, AlaoM, SOTUNSAJ, . Active Management of Third Stage of-Labor: Evidence Versus Practice. 2009, 88 ():1252-1252.

Oladapo,Ot , Akinola,Io , Fawole,Ao , Adeyemi,As , Adegbola,O , Loto,Mo , Fabanwo,Oa , Alao,Mo , and SOTUNSA,John . "Active Management of Third Stage of-Labor: Evidence Versus Practice", 88 . (2009) : 1252-1252.

O.Ot A.Io F.Ao A.As A.O L.Mo F.Oa A.Mo & S.John , "Active Management of Third Stage of-Labor: Evidence Versus Practice" vol.88, no., pp. 1252-1252, 2009.

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