Active management of the third stage of labor: A brief overview of key issues/Dogumun ucuncu evresinin aktif yonetimi: Kilit konulara kisa bir bakis

• Published in: Turkish journal of obstetrics and gynecology Vol. 15; no. 3; p. 188
• Main Authors: Gungorduk, Kemal, Olgac, Yusuf, Gulseren, Varol, Kocaer, Mustafa
• Format: Journal Article
• Language: English
• Published: Galenos Yayinevi Tic. Ltd 01-09-2018
• Subjects: Care and treatment; Vaginal bleeding
• ISSN: 2149-9322
• DOI: 10.4274/tiod.39049

Postpartum hemorrhage is a potentially life-threatening, albeit preventable, condition that persists as a leading cause of maternal death. It occurs mostly during the third stage of labor, and active management of the third stage of labor (AMTSL) can prevent its occurrence. AMTSL is a recommended series of steps, including the provision of uterotonic drugs immediately upon fetal delivery, controlled cord traction, and massage of the uterine fundus, as developed by the World Health Organization. Here, we present current opinion and protocols for AMTSL. Keywords: Postpartum hemorrhage, active management of the third stage of labor, uterotonic agents Oz Postpartum kanama, hayati tehdit eden, onlenebilir bir durumdur, anne olumunun onde gelen nedenini olusturan bir durumdur. Cogunlukla dogumun ucuncu evresi sirasinda ortaya cikar ve dogumun ucuncu evresinin aktif yonetimi (AMTSL) ortaya cikmasim engelleyebilir. AMTSL, uterotonik ilaclarin hemen fetal dogum uzerine uygulanmasi, kontrollu kordon traksiyonu ve Dunya Saglik Orgutu tarafindan gelistirilen rahim fundus masaji dahil olmak uzere onerilen bir dizi adimdir. Burada AMTSL icin guncel gorus ve protokolleri sunuyoruz. Anahtar Kelimeler: Dogum sonrasi kanama, dogumun ucuncu evresinin aktif yonetimi, uterotonik ajanlar