Active management of the third stage of labor includes all of the following interventions EXCEPT:
- A Administration of a uterotonic within 1 minute of delivery
- B Controlled cord traction
- C Uterine massage after placental delivery
- D Early cord clamping within 30 seconds ✓
Correct answer: D. Early cord clamping within 30 seconds
Explanation
Active management of the third stage comprises: uterotonic administration (oxytocin 10 IU IM) within 1 minute, controlled cord traction, and uterine massage after placental delivery. Delayed cord clamping (1-3 minutes) is now recommended by WHO and is NOT part of the classic active management bundle. Early cord clamping is no longer standard.
Reference: WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage, 2012 ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.