Which single component of the active management of the third stage of labour has been shown to produce the greatest reduction in postpartum haemorrhage?

• A Prophylactic oxytocin 10 IU intramuscularly after delivery of the baby ✓
• B Controlled cord traction after clamping the cord
• C Immediate clamping and cutting of the cord within 15 seconds
• D Uterine massage performed every 15 minutes for the first hour

Explanation

Active management comprises a uterotonic after delivery, controlled cord traction, and early uterine assessment. Prophylactic oxytocin 10 IU intramuscularly is the component with the largest effect on reducing postpartum haemorrhage, cutting the incidence by roughly half compared with expectant management. Controlled cord traction adds little when a uterotonic is already given, and early cord clamping is no longer recommended because delayed clamping benefits the neonate.

Reference: DC Dutta's Textbook of Obstetrics, 9th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.