MLSS Demo — Active Management of the Third Stage of Labour (AMTSL)

Section outline

• Select section General

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  General

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  • Select activity Announcements

    

    Announcements Forum
• Select section AMTSL — demonstration & checkpoint

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  AMTSL — demonstration & checkpoint

  • 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.