Abstract
Objective: To observe and document the practices and malpractices in the application of steps of AMTSL and explore factors associated such application to eliminate the risk of PPH in Baghdad teaching hospital. Patients and Methods: 200 women are randomly selected according to certain inclusion criteria were observed during the 3rd stage of labor in order to document practices and malpractices in the application of AMTSL according to FIGO/ICM definition using an observation checklist that record practices and malpractices documented 39 variables for each patient. Result: AMTSL appears to be widely applied in labor word in Baghdad teaching hospital according to FIGO/ICM definition as following: use of uterotonic drugs in 98%, CCT in89%, fundal massage immediately after delivery of the placenta and uterine palpation in the next 30min. after delivery of the placenta were applied for almost all women in our study i.e. 100%, with 23%of malpractices observed. Conclusions: In Baghdad teaching hospital, practices for management of third stage of labor were largely in accordance with the FIGO/ICM definition of AMTSL, and these can be applied &observed in other hospital& health centers
Keywords
Active Management, Third Stage of Labor, Mternal and Fetal outcomes, Baghdad