Section: AMTSL — demonstration & checkpoint | MLSS Demo — Active Management of the Third Stage of Labour (AMTSL) | Ruavira

Section outline

- Select activity Step 1 — Watch the demonstration, then take the checkpoint
  
  Watch the clinically-verified AMTSL demonstration below, then complete the OSCE checkpoint (pass ≥ 80%). Key point: apply controlled cord traction with counter pressure on the uterus, working from the perineum — never pull on the cord alone.
- Select activity AMTSL demonstration — controlled cord traction (video)
  
  AMTSL demonstration — controlled cord traction (video) File MP4
- Select activity AMTSL — Checkpoint (OSCE) · pass ≥ 80%
  
  AMTSL — Checkpoint (OSCE) · pass ≥ 80% Quiz
- Select activity ⚠ Failure mode: uterine inversion
  
  ⚠ Failure mode — uterine inversion
  
  The most dangerous error in this procedure is applying controlled cord traction without counter-pressure, or pulling on the cord alone. This can turn the uterus inside out — a life-threatening obstetric emergency.
  
  Do it right: place the guarding hand suprapubically and press the uterus up and back, apply steady, gentle traction only with a contraction, and always work from the perineum — never the head.