In recent years, Nigeria witnessed significant labour migration coupled with reduction in rural agricultural productivity. Youths abandoned farms for ventures with high returns and less drudgery in cities thus labour availability in peak agricultural seasons became scarce. The declining farm population constituting mostly women and old men are not capable of producing sufficient food for the no...

Objective To assess the impact of controlled cord traction on the incidence of postpartum haemorrhage and other characteristics of the third stage of labour in a high resource setting. Design Randomised controlled trial. Setting Five university hospital maternity units in France. Participants Women aged 18 or more with a singleton fetus at 35 or more weeks’ gestation and planned vaginal deliver...

OBJECTIVE To assess the impact of controlled cord traction on the incidence of postpartum haemorrhage and other characteristics of the third stage of labour in a high resource setting. DESIGN Randomised controlled trial. SETTING Five university hospital maternity units in France. PARTICIPANTS Women aged 18 or more with a singleton fetus at 35 or more weeks' gestation and planned vaginal d...

This study calculated the net benefit of using active management of the third stage of labour (AMTSL) rather than expectant management of the third stage of labour (EMTSL) for mothers in Guatemala and Zambia. Probabilities of events were derived from opinions of experts, publicly available data, and published literature. Costs of clinical events were calculated based on national price lists, ob...

Acute puerperial uterine inversion is a rare life threatening obstetric emergency, in which the uterine fundus collapses into and out of the uterine cavity. Although precise cause is unknown, it is postulated to be caused by the mismanagement of the third stage of labour. The duration of time elapsed from moment of diagnosis to that of correction, along with rapid resuscitation measures are of ...

Introduction ctive management of the third stage of labour (AMTSL) is a critical intervention for PPH prevention. AMTSL has become a central component for the PPH reduction strategies of governments around the world. In 2012, WHO has issued new recommendations regarding AMTSL, which can be used to strengthen and focus the implementation of this lifesaving intervention. The use of uterotonics fo...

Objective: In the poor underdeveloped countries, anaemia is very common in pregnant women. Maternal mortality is four times higher in severely anaemic women than non-anaemic ones and postpartum haemorrhage (PPH) is the most common cause of death Its main cause is uterine atony, which accounts for more than 70%. The objective of this study is to evaluate the use of sublingual misoprostol in diff...