Effect of Active versus Expectant Nursing Management of Third Stage of Labor on Post-Partum Hemorrhage

Niven R. Basyouni
2017 IOSR Journal of Nursing and Health Science  
postpartum hemorrhage (PPH) is the prime origin of maternal deaths. All laboring women are threatened by PPH and its toll. Prolonged 3rd stage of labor is one of the chief risk factors for PPH. To safe lives of women; proper nursing management of 3rd stage of labor is mandatory. Active or expectant nursing management of 3rd stage is the intervention of choice. Advantages and disadvantages of both techniques might be over estimated. Obstetric nurses must be prepared, competent and efficient to
more » ... and efficient to manage this situation at every delivery. Objective: This study aimed to examine the effect of active versus expectant nursing management of the third stage of labor on post-partum hemorrhage. Material and Methods: This quasi-experimental research was conducted in the labor and delivery unit of the Main Maternity University Hospital, Alexandria-Egypt. A convenient sample of 80 laboring women meeting the specified inclusion criteria were enrolled to the study. The women (80) were divided into two groups: active management and expectant management group. Each laboring woman in the previously mentioned groups was individually interviewed to collect data. Four days per week during a period of four months. Results: This study found that a significant difference between the active and expectant management in the duration of the third stage of labor and the mean estimated blood loss during the 4 th stage of labor. While no statistically significant difference was found in the blood loss on labor ward as manifested by maternal vital signs and signs of shock. Likewise no significant relation was found in women's satisfaction with either active or expectant management of the 3 rd stage of labor. Conclusions and recommendations: Active management of third stag of labor is preferable to expectant management in reducing post-partum hemorrhage (PPH). The implications of this study supporting the use of active management in a more widespread obstetric setting. Keywords: Third stage of labor; Post partum hemorrhage (PPH); Active management of third stage of labor (AMTSL); Expectant management of third stage of labor. Effect of active versus expectant nursing management of third stage of labor on post-partum hemorrhage
doi:10.9790/1959-0601068994 fatcat:5khukymbgbe23bjjgqastkugyq