Obstetrics & Gynaecology · Antepartum and Postpartum Hemorrhage

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

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