జర్నల్ ఆఫ్ అడ్వాన్స్‌డ్ ప్రాక్టీసెస్ ఇన్ నర్సింగ్

Pregnancy is a complex phenomenon requires a constant consistent supervision of health team members throughout the phase of pregnancy. The actual challenging phase in throughout pregnancy is the delivery phase; during which majority of complications will arose in fraction of minutes on such complication is post-partum haemorrhage. Prevention of postpartum haemorrhage begins by registration and confirmation of pregnancy, by regular intake of iron and folic acid supplements, balanced diet and exercise. During labour postpartum haemorrhage is prevented by good practice of AMTSL (Active Management of Third Stage of Labor), hence the present study aim to assess the practice of AMTSL by nurses during delivery and improve their skill by hand-on training. A total 98 nurses working in labor unit were selected by purposive sampling, using a structured practice checklist questionnaire the skill was assessed and hand-on training was given following which post training the skill was assess by using same practice checklist questionnaire. The results of the study showed that the hands-on training was effective and have brought the change in the skill and confidence level of the nurses. The study recommended that nurses should be given regular continuing nursing skill education in bettering the care of the patients and improving the nursing care in health care facilities.