Prevention of Postpartum Hemorrhage: Implementing ... - POPPHI

Facilitator’s GuideKEY Pre-Course Questionnaire: AMTSLInstructions:Read each question carefully before choosing a response. Write the letter “T” forTrue or “F” for False in the space provided after each statement.If you do not understand a question, ask one of the facilitators to assist you beforeyou respond to the question. Each question is worth 1 point.Scientific evidence1. Active management of third stage of labor reduces the length of the third stage oflabor.True2. The only difference between active and physiologic management of third stage oflabor is that oxytocin is administered within a minute after birth of the baby in AMTSL.FalseCauses and prevention of PPH3. When a portion of the placenta—one or more lobes—is retained, it prevents the uterusfrom contracting effectively.True4. Immediate PPH is most commonly due to uterine atony (failure of the uterus tocontract properly after the infant is born).True5. The best way to prevent PPH is to carefully identify risk factors in women duringpregnancy and at the beginning of labor.False6. Monitoring labor using the partograph may help prevent PPH.TrueReview of uterotonic drugs7. Ergometrine is less stable than oxytocin when exposed to heat and light.True8. Temporary storage of oxytocin outside the refrigerator at a maximum of 30°C isacceptable for no more than three months.True9. Oxytocin should never be given to women with preeclampsia, eclampsia, or high bloodpressure because it increases the risk of convulsions and cerebrovascular accidents.False10. Misoprostol is a uterotonic that can be used to treat PPH.True11. In the context of active management of the third stage of labor, if oxytocin is notavailable, skilled attendants should offer ergometrine/methylergometrine or the fixeddrug combination of oxytocin and ergometrine to women without hypertension orheart disease for prevention of PPH.TruePrevention of Postpartum Hemorrhage: Implementing Active Management of the Third Stage of Labor 13