Assessment on the Availability and Routine Use of Active Management of the Third Stage of Labor (AMTSL)
Subtitle: Use of AMTSL
Publisher: EngenderHealth Bangladesh Country Office
Published: December 2008
Place of publication: Dhaka, Banglaesh
Language: eng
Format: Paperback
Table of contents: title: Acknowledgments	7; title: Acronyms	8; title: Executive Summary	9; title: Recommendations	10; title: National Policy Issues	10; title: Logistics and Supplies	11; title: Providers/Practice	11; title: Monitoring and Evaluation	11; title: Section- 1 Introduction	12; title: Background	12; title: Active Management of the Third Stage of Labor (AMTSL)	12; title: Global practice of AMTSL	12; title: Rationale for Assessment on Use of AMTSL in Bangladesh	13; title: Section- 2 Assessment Methodology	15; title: Objectives of the assessment	15; title: Study design	15; title: Document review	15; title: Interviews with facility staff and national level key informants	15; title: Observations of deliveries	16; title: Sampling design	16; title: Sample size	16; title: Selection of sample	17; title: Key informant/facility staff interview	17; title: Assessment Tools	18; title: Key informant interview tool	18; title: Facility assessment tool	18; title: Assessment tool on observation of deliveries	18; title: Ethical clearance of the assessment	18; title: Training for data collectors	18; title: Limitation of the assessment	19; title: Section- 3	20; title: National and Facility Level Policy Environment and Logistics	20; title: National Standard Treatment Guidelines (STG)	20; title: Essential Drug List (EDL)	20; title: Availability and Storage of Uterotonic Drugs at Central Storage	21; title: Pre-service and In-service Training on AMTSL	21; title: The Facility-Level Environment	21; title: Location of the Observed Facilities	21; title: Availability of Providers Responsible for Delivering Babies at the Facilities	22; title: AMTSL Training among the Providers at the Facilities	23; title: Availability of the Services related to AMTSL at the Facilities	24; title: Availability of the PPH Treatment and Prevention Protocol at the Facilities	25; title: Accessibility of the Pharmacies and Supplies at the Facility-level	25; title: Storage Conditions for Uterotonic Drugs at the Facility-Level	25; title: Section- 4 Management of the Third Stage of Labor	27; title: Characteristic of Deliveries	27; title: Use of Uterotonic Drugs	28; title: Components of AMTSL	30; title: Correct Use of Uterotonic Drug for AMTSL	30; title: Controlled Cord Traction and Uterine Massage	31; title: Use of AMTSL	32; title: Patterns of Cord Clamping	34; title: Duration of the Third Stage of Labor	35; title: Potentially Harmful Practices	35; title: Section- 5 Conclusion and Recommendation	37; title: Recommendations	38; title: National Policy Isues	38; title: Logistics and Supplies	38; title: Providers/Practice	39; title: Monitoring and Evaluation	39; title: References	40; title: Appendix 1:	41; title: Facility Level Questionnaire on Management of the Third Stage of Labor	41; title: Facility Assessment	43; title: Facility Level Statistics and Drug Stock and Storage Assessment	48; title: Appendix 2	52; title: National Level	52; title: Management of the Third Stage Of Labor	52; title: Appendix 3	58; title: Observation of Deliveries	58; title: Management of the Third Stage of Labor	58; title: Appendix 4	66; title: General data collection guidelines for the	66; title: Study of the Management of the Third Stage of Labor	66; title: Facility-based Observation of Deliveries	67; title: Appendix 5	69; title: Ethical Clearance	69; title: Appendix 6	70; title: Key Informants	70