The term ‘Laj’ is used by Nepalese women when they speak about their expected attitude and actions surrounding pregnancy. To demonstrate how deeply felt this principle is, Nepalese women will often leave the home and deliver their baby with no outside assistance. Amazingly enough, women are also taught to suppress their cries of labor pains, and stifle screams that normally would accompany any contractions under typical circumstance. The women can be so intent on preserving their honor that they fail to seek help until complications – often life threatening for mom and baby – have arisen.
These beautifully drawn cards remind clinicians of the key steps of Active Management of the Third Stage Labor. The steps of AMTSL are integrated with Essential Newborn Care. 13 cards take the user carefully through the steps of this protocol critical to preventing postpartum hemorrhage. At 100 sets or more the price is $6 a set.
The clinical steps around saving mothers' lives are a matter of swift-decision making and skill. A lot of attention is being given to a simple process called the 'Active Management of the Third Stage of Labor' as a way to prevent postpartum hemorrhage. While clinicians who have been trained and who do hundreds of deliveries a month will remember the steps in AMTSL, newer clinicians will need reminders. We saw an interesting rubber stamp that was created for a USAID project. It covered the steps of AMSTL and could be stamped directly into a paper medical record.