Introduction: Postpartum haemorrhage is one of the most common reasons for maternal mortality and morbidity all around the world. It can occur because of one of 4 reasons: atony, trauma, tissue, or thrombotic dysfunction. With active management of the third stage of labour, we can affect one of four reasons and prevent postpartum haemorrhage. Purpose: The purpose of diploma work was to describe management of the third stage of labour and show the impact on postpartum haemorrhage. Working methods: Descriptive method was used to find and review the literature in English and Slovene language. The literature that was used in the diploma thesis is based on reviews, original articles, and literature between 2003 and 2018. Literature was searched in the following databases: CINAHL, PubMed, The Cochrane Collaboration and COBISS.SI and with online search Google Scholar. Results: Based on literature review it is proven that active management of the third stage of labour lowers the chances of postpartum haemorrhage. Uterine massage is not necessary, because it does not lower the chance for postpartum haemorrhage. Late cord clamping does not have any impact on postpartum haemorrhage but it has great positive effect on the new-born baby. Cord traction is recommended for active management, because it lowers the chances for manual removal of placenta, but it does not have any impact on postpartum haemorrhage. Discussion and conclusion: We can conclude that active management of the third stage of labour prevents postpartum haemorrhage. The main intervention and most effective intervention for preventing postpartum haemorrhage is giving the preventive uterotonic. Late cord clamping and cord traction do not have any impact on postpartum haemorrhage. The method that can be proven to be useful, but it is not researched enough, is uterine massage.
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