Active Management of Third Stage of Labour Saves Facility Costs in Guatemala and Zambia

Journal Article
(Published December, 2006)
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This study calculated the net benefit of using active management of the third stage of labour (AMTSL) rather than expectant management of the third stage of labour (EMTSL) for mothers in Guatemala and Zambia. Costs of clinical events were calculated based on national price lists, observation of resources used in AMTSL and EMTSL, and expert estimates of resources used in managing postpartum haemorrhage and its complications, including transfusion. The results indicate that AMTSL is cost-saving at the facility level.

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Fullerton JT, Frick KD, Fogarty LA, Fishel JD, Vivio DM. Active management of third stage of labour saves facility costs in Guatemala and Zambia. J Health Popul Nutr. 2006. 24(4):540-51.