Alyssa R Hersh, Guillermo Carroli, G Justus Hofmeyr, Bharti Garg, Metin Gülmezoglu, Pisake Lumbiganon, Bremen De Mucio, Sarah Saleem, Mario Philip R Festin, Suneeta Mittal, Jorge Andres Rubio-Romero, Tsungai Chipato, Catalina Valencia, Jorge E Tolosa
The third stage of labor is defined as the time period between delivery of the fetus through delivery of the placenta. During a normal third stage, uterine contractions lead to separation and expulsion of the placenta from the uterus. Postpartum hemorrhage is a relatively common complication of the third stage of labor. Strategies have been studied to mitigate the risk of postpartum hemorrhage, leading to the widespread implementation of active management of the third stage of labor. Initially, active management of the third stage of labor consisted of a bundle of interventions including administration of a uterotonic agent, early cord clamping, controlled cord traction, and external uterine massage...
March 2024: American Journal of Obstetrics and Gynecology