Management of the client in 3rd stage of labour

 

Intent Statement: 

Active Management of the third stage is recommended as there is evidenceto prove that this type of management reduces the risk of Post Partum Haemorrhage. The Obstetrician should be informed if the 3rd stage is delayed for more than thirty (30) minutes.

PROCEDURE

The Midwife shall:-

 4.4.1 Deliver the placenta and membranes.

4.4.2 Assess the perineum, vaginal floor, and cervix for

 lacerations and then apply a sterile sanitary pad. 

 4.4.3 Assess the blood loss and uterine tone. 

4.4.4 Ensure that the client is made comfortable in bed following delivery. 

4.4.5 Ensure that the post-delivery vital signs are monitored and recorded.

 4.4.6 Examine the placenta and membranes for completeness, record findings, and reportconcerns.

4.4.7 Obtain cord blood for laboratory analysis. (E.g. RH negative & O positive mothers)

 4.4.8 Measure the blood loss.

 4.4.9 Allow the client to rest for a minimum of 1 hr following delivery before transfer to the postnatal ward unless otherwise indicated. 

 4.4.10 Ensure that all care is documented in the client’s health record