In the active management of third stage of labor, the component that has been shown to reduce the incidence of PPH is:
- A Early cord clamping within 30 seconds
- B Uterotonic administration (oxytocin 10 IU IM) ✓
- C Controlled cord traction
- D Uterine massage after placental delivery
Correct answer: B. Uterotonic administration (oxytocin 10 IU IM)
Explanation
The Cochrane review and WHO guidelines identify prophylactic uterotonic administration as the component of active management that most reduces PPH incidence. Oxytocin 10 IU IM given with anterior shoulder delivery is the standard. Controlled cord traction reduces blood loss but not PPH incidence significantly.
Reference: WHO Recommendations for Prevention and Treatment of PPH, 2012 ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.