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Research Paper | Obstetrics and Gynecology | India | Volume 11 Issue 11, November 2022

Implementation of Active Management of Third Stage of Labour (AMTSL) for Prevention of Postpartum Haemorrhage

Kanchan Kakde | Monali Chaunpurge | Keerthana Reddy

Abstract: Background: Post - partum haemorrhage (PPH) is the leading cause of maternal mortality worldwide. Since more than 50 years AMTSL has been proposed for the prevention of PPH and is still recommended in current guidelines. The aim of the study was to reduce the incidence of PPH by strict implementation of AMTSL. Methodology: A short term hospital - based quality improvement (QI) project was undertaken for duration of 12 weeks. Reasons for low adherence to AMTSL protocol were analysed. Necessary interventions were done. Regular monitoring of the labour room practices was carried out to find out the outcome of interventions. Results - The historical data of three months before project implementation revealed that the rate of post - partum haemorrhage was 3.5 % - among 2400 deliveries in previous 12 weeks. There was significant improvement in adherence to protocol related to all three components of AMTSL Adherence rate for uterotonic administration improved from 78 percent to 96 percent, controlled cored traction rate improved from 88 percent to 98 percent and uterine massage was improved from 36 percent to 78 percent. Strict implementation of AMTSL resulted in reduction in the rate of PPH to 1.5 percent. Conclusion: Implementation of short - term QI project on adherence to WHO recommended protocol of active management of third stage of labour resulted in significant reduction in the rate of post - partum haemorrhage and its associated complications.

Keywords: Postpartum Hemorrhage, PPH, AMTSL

Edition: Volume 11 Issue 11, November 2022,

Pages: 740 - 742