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Post a Comment Knowledge and Practice of Active Management of Third Stage of Labour (AMTSL) among Nursing Students in Selected Hospitals, Gangtok, Sikkim
Abstract
Introduction: Active Management of Third Stage of Labour (AMTSL) as a prophylactic intervention is composed of a package of three components. WHO recommendations have supported active management of the third stage of labour (AMTSL) as a critical intervention for PPH prevention. The study aimed to assess the knowledge and practice of AMTSL among nursing students in selected hospitals, Gangtok, Sikkim.
Materials and Methods: Investigators adopted quantitative approach with descriptive co-relational research design where 40 students were selected by convenient sampling technique. Validated structured knowledge questionnaire and observational checklist were used to collect the data. Pretesting and reliability of the tool was done which was found to be reliable.
Results: The findings revealed that majority of the students i.e. out of 40 students, 33 (82.5%) had average knowledge, 5 (15%) students had poor knowledge and 1 (2.5%) had good knowledge. Majority 21 (52.5%) had poor practice and 19 (47.5%) had good practice on AMTSL. There was a positive correlation between knowledge and practice of AMTSL among nursing students which means with the increase of knowledge, the practice of AMTSL improves. Also, there was an association of practice with the number of return demonstration shown to the supervisor.
Conclusion: Knowledge of Active Management of Third Stage of labor is a vital possession for the nurses and birth attendants to be skillful in the practice of AMTSL to prevent post-partum hemorrhage and other obstetric complication, which may risk the life of the women. Knowledge based skill is optimal solution for reducing the maternal mortality rate.
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Gabbe S, Niebyl J, Galan H et al. Obstetrics: Normal
and problem pregnancies. Normal labour and delivery
: 267-286.
Mowafi DM. Normal Labour, Obstetrics Simplified.
: 1-5.
Arulkumaran S. The Active management of third stage
of labor. A comprehensive textbook of postpartum
haemorrhage: An essential clinical reference for
effective management. Sapiens 2012: 101-112.
World Health Organization. Active management of
third stage of labour. Available from: https://www.
who.int/reproductivehealth/publications/maternal_
perinatal_health/new-recommendations-amtsl/en/.
International Confederation of Midwives, International
Federation of Gynaecologists and Obstetrician. Joint
statement: management of the third stage of labour
to prevent postpartum haemorrhage. Journal of
Midwifery and Womens Health 2004; 49(1): 76-7.
Kongnyuy EJ, Broek NV. A clinical audit of the
management of postpartum haemorrhage in Malawi.
The Internet Journal of Gynaecology and Obstetrics
; 9(2): 873.
Mathai M, Gulmezoglu M, Casna RP. WHO
recommendations for the prevention of postpartum
haemorrhage. 2006. 18-20.
Alkema L, Chou D, Hogan D et al. Global, regional
and national levels and trends in maternal mortality
a systematic analysis by the UN maternal mortality
estimation inter agency group. Lancet 2016;
(10017): 462-474.
Upadhyay M, Sharma G, Chataut D. Active management
of third stage of labor, assessment of standard of
care in one of the training institute. Nepal Journal of
Obstetrics and Gynaecology 2006; 1(2): 28-30.
Vivio D, Fullerton JT, Forman R et al. Integration of
the practice of active management of the third stage
of labor within training and service implementation
programming in Zambia. Journal of Midwifery and
Womens Health 2010; 55(5): 447-454.
Sikkim maternal mortality rate. Available from:
https://sikkim.data.gov.in/catalog/infant-child-and
maternaldeaths#web_catalog_tabs.
Brucker MC. Management of third stage of labour:an evidence-based approach. Journal of Midwifery
Womens Health 2001; 46(387): 381-392.
The Association of Women’s Health, Obstetric
and Neonatal Nurses (AWHONN). Womens health
and prenatal nursing care quality draft measures
specifications. 2013. 83-89.
Oyetunde MO, Nkwonta CA. Assessment of midwives’
competence in active management of third stage of
labour in primary health centres in Anambra State,
Nigeria. Journal of Applied Medical Sciences 2015;
(2): 17-29.
Daef G, Naidoo T, Moodley J. An audit of the knowledge
and practice of the active management of the third
stage of labour in a resource constrained setting.
Journal of Community and Public Health Nursing 2017;
(2): 200.
Fathima A, Rao MV. An evaluation of the practice
of active management of third stage of labour in a
teaching hospital. International Journal of Reproduction
Contraception Obstetrics and Gynecology 2016; 5(6):
-1708.
Hammah J, Donkor E. Assessment of practicing
midwives on the management of the third stage of
labour. African Journal of Midwifery and Womens
Health 2013; 7(6): 59-64.
Devangamath BG, Raddi SA. A descriptive study to
assess the knowledge regarding nursing management
of first stage of labour among final year GNM students
of selected school of nursing, Belgaum, Karnataka.
International Journal of Science and Research 2013;
(14): 2199-2201.
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