A Study of structured teaching programme on active management of third stage of labour among staff nurses working in DR. Tandon Nursing college and Test tube IVF center at Agra (U.P)

Abstract— The third stage of labour is the period of time from the birth of the baby until the placenta is delivered. During this stage, the uterus contracts & placenta begins to separate from the uterine wall. This stage lasts between 5 and 15 minutes. After 30 minutes, it is considered prolonged indicating potential problem. If the uterus is atonic and does not contract normally, several bleeding occurs then to anaemia which affects breast feeding and may leads to septicemia and death. A series of procedures conducted during this stage are collectively called as “Active Management of Third stage of Labour” (AMTSL) which consists of interventions designed to speed the delivery of placenta by increasing the uterine contractions and postpartum harmorrhage by adverting uterine atony.

Maternal mortality is perhaps the most important cause of loss of healthy life years and cause that could be readily reduced through improved quality of care. One of the reason for maternal mortality is the poor performance health care personnels in the management of labour and childbirth.