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Scholars Journal of Applied Medical Sciences | Volume-11 | Issue-06
Active Management of the Third Period of Childbirth at (AMTPC) the Reference Health Center of the Commune VI of the District of Bamako
Boubakary Guindo, Mahamoudou Coulibaly, Sema Keita, Moctar Diaby, Bouroulaye Diarra, Aminata Kouma, Alou Samake
Published: June 9, 2023 | 152 146
DOI: 10.36347/sjams.2023.v11i06.008
Pages: 1020-1028
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Abstract
Aims: this study aimed at contributing to the improvement of the quality of the practice of the AMTPC and the prevention of the occurrence of postpartum hemorrhages that we carried out in the delivery room of the commune VI of the district of Bamako. Patients and Methods: This was a cross-sectional study, on 407 parturients and 30 agents in charge of assisted deliveries. Results: Among these birth attendants surveyed, 7 (23%) had no training in AMTPC. The number of gestures required for the correct practice of the AMTPC for a parturient was estimated at 34 divided into 5 stages, only the closing stage was correctly done (94.1%) with a score higher than normal (80 %). The scores for the correct practice of the 4 other stages were insufficient: preparation (58.2%), delivery (62.4%), uterine massages (19.7%), examination of the genital canal (30%) are below the national standard (80%). Conclusion: The practice of the AMTPC is systematic in the delivery room of the referral health center of Commune VI. However, the quality of the AMTPC remains insufficient in the delivery room since among the five stages evaluated, only that of the fence was correctly practiced.