Active Management of Third Stage of Labour (AMTSL) l Mandatory for all deliveries (vaginal and abdominal) l Exclude presence of another baby after delivery of first baby Step 2 l and cord is cut l Apply cord traction (pull) downwards and give counter-traction with other hand by pushing uterus up towards umbilicus Controlled cord traction once uterus is contracted Inj. Oxytocin 10 units IM immediately after birth Step 1 Uterine massage to keep uterus contracted Step 3 For use in medical colleges, district hospitals and FRUs