Use of active management of the third stage of labour in seven developing countries
Cynthia Stanton, Deborah Armbruster, Rod Knight, Iwan Ariawan, Sourou Gbangbade, Ashebir Getachew, Jose Angel Portillo, Douglas Jarquin, Flor Marin, Sayoka Mfinanga, Jesus Vallecillo, Hope Johnson & David Sintasath
Volume 87, Number 3, March 2009, 207-215
Table 9. Policies related to active management of the third stage of labour in seven developing countries, 2005 and 2006a
| Policy | Setting |
||||||||
|---|---|---|---|---|---|---|---|---|---|
| Africa |
Asia |
Central America |
|||||||
| Benin | Ethiopia | United Republic of Tanzania | Indonesia | El Salvador | Honduras | Nicaragua | |||
| Oxytocin and ergometrine are on essential drug list. | Yes | Yes | Yes | Yes | Yes | Yes | Yes | ||
| Standard treatment guidelines include definition of AMTSL. | Yes, includes FIGO–ICM definition | Yes, includes FIGO–ICM definition | Yes, but does not include FIGO–ICM definition | Yes (with uterotonic within 2 min of fetal delivery) | Yes, but does not include FIGO–ICM definition | Yes, includes FIGO–ICM definition | No | ||
| More than one standard treatment guideline exists, with conflicting guidance on AMTSL. | Yes, current and old | Yes, > 1 current | Yes, multiple and none meet FIGO–ICM definition | No | Yes, 2 current | Yes, current and out of date | Yes, 2 current | ||
| Pre-service curriculum includes definition of AMTSL. | No for doctors, nurses and midwives | No for doctors, nurses and midwives | No for doctors, nurses and midwives, but refers to resources with other AMTSL definition | Yes for doctors, nurses and midwives | No for doctors and nurses | No for doctors and nurses | Yes, but only for obstetric nurses | ||
AMTSL, active management of the third stage of labour; FIGO, International Federation of Gynecologists and Obstetricians; ICM, International Confederation of Midwives.
a Data collected from October to December 2005 for Ethiopia and the United Republic of Tanzania, and from July to December 2006 for the remaining countries.