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Active Management of Labor

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1. Improvement in the active management of the third stage of labor for the prevention of postpartum hemorrhage in Tanzania: a cross-sectional study. (PubMed)

Improvement in the active management of the third stage of labor for the prevention of postpartum hemorrhage in Tanzania: a cross-sectional study. Tanzania has a maternal mortality ratio of 556 per 100,000 live births, representing 21% of all deaths of women of reproductive age. Hemorrhage, mostly postpartum hemorrhage (PPH), is estimated to cause at least 25% of maternal deaths in Tanzania. In 2008, the Ministry of Health, Community Development, Gender, Elderly and Children launched (...) interventions to improve efforts to prevent PPH. Competency-based training for skilled birth attendants and ongoing quality improvement prioritized the practice of active management of the third stage of labor (AMTSL).A cross-sectional study was conducted in 52 health facilities in Tanzania utilizing direct observations of women during labor and delivery. Observations were conducted in 2010 and, after competency-based training and quality improvement interventions in the facilities, in 2012. A total of 489

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2018 BMC Pregnancy and Childbirth

2. Task shifting in active management of the third stage of labor: a systematic review. (PubMed)

Task shifting in active management of the third stage of labor: a systematic review. Active management of the third stage of labor (AMTSL) describes interventions with the common goal to prevent postpartum hemorrhage (PPH). In low- and middle-income countries, implementation of AMTSL is hampered by shortage of skilled birth attendants and a high percentage of home deliveries. Task shifting of specific AMTSL components to unskilled birth attendants or self-administration could be a strategy

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2018 BMC Pregnancy and Childbirth

3. Active management of the third stage of labor: A brief overview of key issues (PubMed)

Active management of the third stage of labor: A brief overview of key issues Postpartum hemorrhage is a potentially life-threatening, albeit preventable, condition that persists as a leading cause of maternal death. It occurs mostly during the third stage of labor, and active management of the third stage of labor (AMTSL) can prevent its occurrence. AMTSL is a recommended series of steps, including the provision of uterotonic drugs immediately upon fetal delivery, controlled cord traction

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2018 Turkish Journal of Obstetrics and Gynecology

4. Physiologic childbirth and active management of the third stage of labor: A latent class model of risk for postpartum hemorrhage. (PubMed)

Physiologic childbirth and active management of the third stage of labor: A latent class model of risk for postpartum hemorrhage. Postpartum hemorrhage (PPH) is a threat to maternal mortality worldwide. Evidence supports active management of third stage labor (AMTSL) for preventing PPH. However, trials of AMTSL include women at varying risk levels, such as women undergoing physiologic labor and those with labor complications. Counseling women about their risk for PPH and AMTSL is difficult (...) ; each class was clinically distinct. The two largest Classes (A and B) represented women with term births and lower average parity, with higher rates of nulliparity in Class B. Class A women had more physiologic birth elements and less labor induction or labor dysfunction compared with Class B. PPH and AMTSL use was higher in Class B. In Class B, AMTSL lowered risk for PPH. However, in Class A, AMTSL was associated with higher risk for PPH and delayed placental delivery (>30 minutes).AMTSL may

2018 Birth

5. Active Management of the Third Stage of Labor With a Combination of Oxytocin and Misoprostol to Prevent Postpartum Hemorrhage: A Randomized Controlled Trial

Active Management of the Third Stage of Labor With a Combination of Oxytocin and Misoprostol to Prevent Postpartum Hemorrhage: A Randomized Controlled Trial To evaluate the effectiveness and safety of misoprostol administered simultaneously with oxytocin as part of the active management of the third stage of labor.This multicenter, double-blind, randomized, placebo-controlled trial recruited women in the first stage of labor with expected vaginal deliveries at 36-42 weeks of gestation

2016 EvidenceUpdates

6. Alternative to Intensive Management of the Active Phase of the Second Stage of Labor

Alternative to Intensive Management of the Active Phase of the Second Stage of Labor Alternative to Intensive Management of the Active Phase of the Second Stage of Labor - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. Alternative to Intensive Management of the Active Phase of the Second Stage of Labor (PASST) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03018860 Recruitment Status : Recruiting First Posted : January 12

2017 Clinical Trials

7. Uterine massage as part of active management of the third stage of labor for preventing postpartum hemorrhage during vaginal delivery: a systematic review and meta-analysis of randomized trials. (PubMed)

Uterine massage as part of active management of the third stage of labor for preventing postpartum hemorrhage during vaginal delivery: a systematic review and meta-analysis of randomized trials. 28881415 2019 03 01 2019 03 01 1471-0528 125 7 2018 Jun BJOG : an international journal of obstetrics and gynaecology BJOG Uterine massage as part of active management of the third stage of labour for preventing postpartum haemorrhage during vaginal delivery: a systematic review and meta-analysis (...) 100935741 1470-0328 AIM IM Adult Delivery, Obstetric methods Female Humans Labor Stage, Third Massage methods Postpartum Hemorrhage prevention & control Pregnancy Randomized Controlled Trials as Topic Treatment Outcome Uterus Vagina 2017 08 30 2017 9 8 6 0 2019 3 2 6 0 2017 9 8 6 0 ppublish 28881415 10.1111/1471-0528.14923

2017 BJOG : an international journal of obstetrics and gynaecology

8. Obstetric care providers' knowledge, practice and associated factors towards active management of third stage of labor in Sidama Zone, South Ethiopia. (PubMed)

Obstetric care providers' knowledge, practice and associated factors towards active management of third stage of labor in Sidama Zone, South Ethiopia. Active management of third stage of labor played a great role to prevent child birth related hemorrhage. However, maternal morbidity and mortality related to hemorrhage is high due to lack of knowledge and skill of obstetric care providers 'on active management of third stage of labor. Our study was aimed to assess knowledge, practice (...) and associated factors of obstetric care providers (Midwives, Nurses and Health officers) on active management of third stage of labor in Sidama Zone, South Ethiopia.An institution based cross sectional study design was conducted from December 1-30 /2015 among midwives, nurses and health officers. Simple random sampling technique was used to get the total of 528 participants. Data entry was done using EPI Info 3.5.1 and exported to SPSS version 20.0 software package for analysis. The presence of association

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2017 BMC Pregnancy and Childbirth

9. Management of parturients in active labor with Arnold Chiari malformation, tonsillar herniation, and syringomyelia (PubMed)

Management of parturients in active labor with Arnold Chiari malformation, tonsillar herniation, and syringomyelia Arnold-Chiari malformation Type 1 (ACM-1) in parturients is a topic of ongoing discussion between obstetricians and anesthesiologists. The primary unanswered question remains; How should the anesthesia provider proceed with labor analgesia and anesthesia for cesarean section when confronted with an advanced, asymptomatic, or minimally symptomatic case of ACM-1 during labor?A 24 (...) -year-old, ASA II, G1P0 full-term parturient presented to Labor and Delivery for vaginal delivery. A diagnosis of ACM-1 was made 12 years ago when a brain magnetic resonance imaging (MRI) was performed for right-sided numbness following a rear-end motor vehicle collision. The patient had been asymptomatic since then and had been seen by an outside neurologist frequently for the past 10 years. During the anesthesia evaluation, it was noted that she had an exaggerated patellar reflex

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2017 Surgical neurology international

10. Active Labor Market Programme Participation for Unemployment Insurance Recipients: A Systematic Review

Active Labor Market Programme Participation for Unemployment Insurance Recipients: A Systematic Review Campbell Systematic Reviews 2015:2 First published: 02 January, 2015 Search executed: September, 2012 Active Labour Market Programme Participation for Unemployment Insurance Recipients: A Systematic Review Trine Filges, Geir Smedslund, Anne-Sofie Due Knudsen, Anne-Marie Klint Jørgensen Colophon Title Active Labour Market Programme Participation for Unemployment Insurance Recipients (...) : A Systematic Review Authors Filges, Trine Smedslund, Geir Knudsen, Anne-Sofie Due Jørgensen, Anne-Marie Klint DOI 10.4073/csr.2015.2 No. of pages 342 Citation Filges T, Smedslund G, Knudsen ASD, Jørgensen AMK. Active Labour Market Programme Participation for Unemployment Insurance Recipients: A Systematic Review. Campbell Systematic Reviews 2015:2 10.4073/csr.2015.2 Copyright © Filges et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which

2015 Campbell Collaboration

11. Omission of Controlled Cord Traction During Active Management of Third Stage of Labor

Omission of Controlled Cord Traction During Active Management of Third Stage of Labor Omission of Controlled Cord Traction During Active Management of Third Stage of Labor - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. Omission of Controlled Cord Traction During Active Management of Third Stage of Labor The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02656108 Recruitment Status : Recruiting First Posted : January 14, 2016

2016 Clinical Trials

12. Carboprost Versus Oxytocin for Active Management of Third Stage of Labor: A Prospective Randomized Control Study. (PubMed)

Carboprost Versus Oxytocin for Active Management of Third Stage of Labor: A Prospective Randomized Control Study. Postpartum hemorrhage is the single largest and leading cause of maternal morbidity and mortality not only in developing countries but also in developed countries. The present study is an attempt to evaluate the scope of using prophylactic intramuscular carboprost tromethamine 125 μg in comparison with intramuscular oxytocin 10 units for the active management of third stage (...) as compared to 10 units intramuscular oxytocin in active management of third stage of labor.

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2016 Journal of obstetrics and gynaecology of India

13. Active Management of the Third Stage of Labor With a Combination of Oxytocin and Misoprostol to Prevent Postpartum Hemorrhage: A Randomized Controlled Trial. (PubMed)

Active Management of the Third Stage of Labor With a Combination of Oxytocin and Misoprostol to Prevent Postpartum Hemorrhage: A Randomized Controlled Trial. To evaluate the effectiveness and safety of misoprostol administered simultaneously with oxytocin as part of the active management of the third stage of labor.This multicenter, double-blind, randomized, placebo-controlled trial recruited women in the first stage of labor with expected vaginal deliveries at 36-42 weeks of gestation

2016 Obstetrics and Gynecology

14. Comparison of active vs. expectant management of the third stage of labor in women with low risk of postpartum hemorrhage: a randomized controlled trial. (PubMed)

Comparison of active vs. expectant management of the third stage of labor in women with low risk of postpartum hemorrhage: a randomized controlled trial. To compare the 'strictly' active management protocol in women with low risk of postpartum hemorrhage using the expectant management protocol with respect to changes in hematologic parameters, uterotonics, blood transfusions, or additional interventions.A randomized controlled prospective trial in which 934 singleton parturients enrolled; 654 (...) were randomly assigned to the active and mixed management groups. The primary outcome parameter was the reduction in hemoglobin concentrations due to delivery, and the secondary outcome parameters were changes in hemoglobin of more than 3 g/dL (ΔHb ≥ 3 g/dL), durations of the third stage of labor, need for additional uterotonic agents, blood transfusions, manual removal of the placenta, and surgical evacuation of retained products of conception.The mean postpartum hemoglobin concentration

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2016 Ginekologia polska

15. Active Management of Labor

Active Management of Labor Active Management of Labor Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Active Management of Labor (...) Active Management of Labor Aka: Active Management of Labor , Labor Dystocia Management From Related Chapters II. Indications III. Management: Stage 1 See Consider Active Management of Labor See Augmentation Consider amniotomy Indications for cesarean delivery (arrested labor) Cervical dilation 6 cm AND No cervical change At 4 hours if adequate contractions (>200 Montevideo Units) or At 6 hours if inadequate contractions IV. Management: Stage 2 Consider Augmentation Avoid exhausting mother early

2018 FP Notebook

16. Approaches to Limit Intervention During Labor and Birth

, the study was underpowered to assess these outcomes (5). Importantly, recent data from the Consortium for Safe Labor support updated definitions for latent and active labor. In contrast to the prior suggested threshold of 4 cm, the onset of active labor for many women may not occur until 5–6cm(6–8). These data suggest that expectant management is reasonable for women at 4–6 cmdilatationandconsideredtobeinlatentlabor,aslong as maternal and fetal status are reassuring. For women who are in latent labor (...) -careactivitiesandcopingtechniques.Admissionduring the latent phase of labor may be necessary for a variety of reasons, including pain management or maternal fatigue. Evidencesuggests that,inadditiontoregularnursingcare, continuousone-to-oneemotional supportprovidedbysupport personnel,suchasadoula,isassociatedwithimprovedoutcomesforwomeninlabor.Datasuggestthatforwomenwith normally progressing labor and no evidence of fetal compromise, routine amniotomy need not be undertaken unless required to facilitate monitoring. The widespread use

2019 American College of Obstetricians and Gynecologists

17. Efficacy of an internet-based cognitive behavioral stress management training in women with idiopathic preterm labor: A randomized controlled intervention study. (PubMed)

Efficacy of an internet-based cognitive behavioral stress management training in women with idiopathic preterm labor: A randomized controlled intervention study. This randomized controlled trial aimed at evaluating the efficacy of an internet-based cognitive behavioral stress management program (IB-CBSM) for pregnant women with preterm labor (PTL) on birth outcome and stress-related psychological and biological parameters.93 pregnant women with PTL (gestational age 18-32) were assigned (...) to either the IB-CBSM (n=50) or a control group (CG) based on distraction (n=43). Participants in both groups worked through six weekly modules. Birth outcome measures included gestational age, neonatal weight and length at birth and the rate of preterm birth (PTB). Questionnaires assessed psychological wellbeing and the activity of the HPA-axis was measured with the cortisol awakening reaction (CAR), both before (T1) and after the intervention (T2).Birth outcome and psychological wellbeing did

2018 Journal of psychosomatic research

18. Effect Of Intravenous Hyoscine -N-Butyl Bromide In Management Of Prolonged Labor In Nulliparous

Of Intravenous Hyoscine -N-Butyl Bromide In Management Of Prolonged Labor In Nulliparous Estimated Study Start Date : March 2018 Estimated Primary Completion Date : September 2018 Estimated Study Completion Date : October 2018 Resource links provided by the National Library of Medicine available for: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Hyoscine group 7. Group A will receive injection Hyoscine butyl bromide 20 mg first dose at the time of amniotomy, and second dose 2 (...) Effect Of Intravenous Hyoscine -N-Butyl Bromide In Management Of Prolonged Labor In Nulliparous Effect Of Intravenous Hyoscine -N-Butyl Bromide In Management Of Prolonged Labor In Nulliparous - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2018 Clinical Trials

19. Association Between Labor and Delivery Unit Census and Delays in Patient Management: Findings From a Computer Simulation Module. (PubMed)

Association Between Labor and Delivery Unit Census and Delays in Patient Management: Findings From a Computer Simulation Module. To demonstrate the association between increases in labor and delivery unit census and delays in patient care decisions using a computer simulation module.This was an observational cohort study of labor and delivery unit nurse managers. We developed a computer module that simulates the physical layout and clinical activity of the labor and delivery unit at our (...) tertiary care academic medical center, in which players act as clinical managers in dynamically allocating nursing staff and beds as patients arrive, progress in labor, and undergo procedures. We exposed nurse managers to variation in patient census and measured the delays in resource decisions over the course of a simulated shift. We used mixed logistic and linear regression models to analyze the associations between patient census and delays in patient care.Thirteen nurse managers participated

2018 Obstetrics and Gynecology

20. CARBETOCIN VERSUS RECTAL MISOPROSTOL FOR MANAGEMENT OF THIRD STAGE OF LABOR IN WOMEN AT LOW RISK OF POSTPARTUM HEMORRHAGE

CARBETOCIN VERSUS RECTAL MISOPROSTOL FOR MANAGEMENT OF THIRD STAGE OF LABOR IN WOMEN AT LOW RISK OF POSTPARTUM HEMORRHAGE CARBETOCIN VERSUS RECTAL MISOPROSTOL FOR MANAGEMENT OF THIRD STAGE OF LABOR IN WOMEN AT LOW RISK OF POSTPARTUM HEMORRHAGE - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. CARBETOCIN VERSUS RECTAL MISOPROSTOL FOR MANAGEMENT OF THIRD STAGE OF LABOR IN WOMEN AT LOW RISK OF POSTPARTUM HEMORRHAGE The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03556852 Recruitment Status : Completed First

2018 Clinical Trials

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