%0 Journal Article
%T Study of the Active Management of the Third Stage of Labor (AMTSL) in Four Maternity Hospitals in the Commune of Kara (Togo)
%A D¨¦d¨¦ R¨¦gine Diane Ajavon
%A Akila Bassowa
%A Baguilane Douaguibe
%A Ameyo Ayoko Ketevi
%A Kossi Edem Logbo-Akey
%A Lihanimpo Djalogue
%A Ay¨¦kinam Kadjo
%A Enam Ahiave
%A Ameyo Vignona Abidi
%A Mazahalo Baniza
%A Abdoul-Samadou Aboubakari
%J Open Journal of Obstetrics and Gynecology
%P 1151-1160
%@ 2160-8806
%D 2021
%I Scientific Research Publishing
%R 10.4236/ojog.2021.119109
%X <strong>Introduction:</strong><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> Active management of the third period of labor (AMTSL) significantly
prevents postpartum hemorrhage onset. </span><b><span style=\"font-family:Verdana;\">Objective:</span></b><span style=\"font-family:Verdana;\"> To assess the practice
of AMTSL in four maternity in the commune of Kara (Kara University Hospital
Center, Kara Tomd</span></span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">¨¨ </span></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">Regional Hospital Center, SOS Kara Mother-Child Hospital, and Adabawer¨¦ Peripheral
Care Unit). </span><b><span style=\"font-family:Verdana;\">Method:</span></b><span style=\"font-family:Verdana;\"> This was a cross-sectional descriptive study over
four months, from January 28 to May 28, 2019. Two questionnaires were used for
data collection: an observation and evaluation grid AMTSL practice and a
questionnaire for providers. The grid was designed and adapted to the RPC
repository model for emergency obstetric and neonatal care in Africa 2018. The
data was processed using the Epi Info 7 software. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">During the
study period, 528 parturients were identified and 30 providers surveyed. No
provider had received ongoing training in AMTSL. The practice of AMTSL was
systematic at each delivery. The practice was correct in 45.8%. Factors
associated with incorrect practice were relationship between caregiver-patient
(p = 0.0005), placental examination (p = 0.0003), postpartum monitoring (p =
0.0001). </span><b><span style=\"font-family:Verdana;\">Conclusion and Suggestion:</span></b><span style=\"font-family:Verdana;\"> The practice of AMTSL is systematic,
but it was incorrect regardless of the provider¡¯s qualification. Continuing
education on AMTSL is necessary to prevent postpartum hemorrhage.</span></span></span></span>
%K AMTSL
%K Assessment
%K Midwives
%K State Auxiliary Birth Attendants
%K Togo
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=111903