SCHOOL OF NURSING SCIENCE AND

RESEARCH, SHARDA UNIVERSITY

Research SYNOPSIS Presentation
BHAWNA JOSHI
M.sc. Nursing,1st year student
Guide: Ms. Shilpy Mittal
HOD $ Assistant Professor
Obstetrical and Gynaecological
Nursing
SNSR
 TITLE OF THE STUDY

“A study to assess the knowledge and practice of active

management of 3rd stage of labour with the help of OSCE
among final year B.Sc. Nursing students in SNSR Sharda
University, Greater Noida Up”
 Objectives of the Study

1) To assess the knowledge and practice on active

management of third stage of labour among nursing
students.
2) To find the correlation between the knowledge and
practice of active management of third stage of labour
among nursing students.
3) To find the association between knowledge and practice
with selected variables.
4) To develop and distribute an informational booklet on
AMTSL.
 REVIEW OF LITRATURE
Studies related to Active management of third stage of labour
 

1) A descriptive co-relational research approach was conducted by Sangay Bhutia et al ( Issue 4 - 2018 ). The
study is to assess the effectiveness of aimed to assess the knowledge and practice of AMTSL among nursing
students among nursing students. The students were explained about the nature and purpose of the study and
a written consent was obtained from the participants prior to their recruitment in the study. Investigators
adopted quantitative approach with descriptive co-relational research design where 40 students were selected
by convenient sampling technique. Validated structured knowledge questionnaire and observational checklist
were used to collect the data. Pretesting and reliability of the tool was done which was found to be reliable
Active Management of Third Stage of Labour (AMTSL) as a prophylactic intervention is composed of a
package of three components. WHO recommendations have supported active management of the third stage of
labour (AMTSL) as a critical intervention for PPH prevention. The study aimed to assess the knowledge and
practice of AMTSL among nursing students in selected hospitals. The findings revealed that majority of the
students i.e. out of 40 students, 33 (82.5%) had average knowledge, 5 (15%) students had poor knowledge and
1 (2.5%) had good knowledge. Majority 21 (52.5%) had poor practice and 19 (47.5%) had good practice on
AMTSL. There was a positive correlation between knowledge and practice of AMTSL among nursing students
which means with the increase of knowledge, the practice of AMTSL improves. Also, there was an association
of practice with the number of return demonstration shown to the supervisor. Knowledge of Active
Management of Third Stage of labor is a vital possession for the nurses and birth attendants to be skillful in
the practice of AMTSL to prevent post-partum hemorrhage and other obstetric complication, which may risk
the life of the women. Knowledge based skill is optimal solution for reducing the maternal mortality rate.

Studies related to effectiveness of Studies related to effectiveness of Active management
of third stage of labour simulation among nursing students
2) A quasi experimental study was done by Melba Sheila D’souza et al in
college of nursing Sultan Qaboos University, Oman q(November 18,
2017). This study is to evaluate the effectiveness of simulation in critical
care nursing among students in a public university. A single quasi
experimental design was used to evaluate the effectiveness of simulation
compared to videos and high fidelity simulation. A convenient sample of
100 students in the critical care nursing course was selected in the year
2015-2016. Standardized simulation instruments were used to measure
the knowledge and performance and ANOVA and t test was used to
analyze the findings. Mean overall satisfaction was higher among
students exposed to high fidelity students than those students with video.
Hence the study confirms that the overall satisfaction and self confidence
was higher among the students exposed to high fidelity simulation
students compared to the students exposed with video learning.
 METHODOLOGY
Research Approach

Quantitative research approach

Research Design
True experimental research design
Setting of the Study
The study will be conducted in Sharda University
(SNSR)Greater Noida
 Sample
 The study Sample will be the BSc nursing 4th year students
of SNSR colleges of nursing , Greater Noida UP .

Sample size
 Sample size will be calculated based on the previous
research studies. An estimate of 50-60 samples will be
takes for the study.
 Sampling Technique

 In this present study simple random sampling

techniques will be adapted to conduct the research
study.
 Method of Data collection

 Tool 1: Self constructed knowledge questionnaire.

 Tool 2: Observational check list to assess the practice

of nursing students
 METHODOLOGY

Visit the BSc. Nursing 4th year class in Sharda University (SNSR)

Selection of the study participants according to the inclusion and exclusion

criteria

Written consent will be obtained from the Student .

The data will be collected by the use of self-structured questionnaire and

observational check list regarding the active management of 3rd stage of
labor.

Data analysis and interpretation

 References

1. Gabbe S, Niebyl J, Galan H et al. Obstetrics: Normal and problem

pregnancies. Normal labour and delivery 2017: 267-286.
2. Mowafi DM. Normal Labour, Obstetrics Simplified. 2017: 1-5.
3. Arulkumaran S. The Active management of third stage of labor. A
comprehensive textbook of postpartum haemorrhage: An essential clinical
reference for effective management. Sapiens 2012: 101-112.
4. World Health Organization. Active management of third stage of labour.
Available from: https://www. who.int/reproductive
health/publications/maternal_ perinatal_health/new-recommendations-
amtsl /en/.
5. International Confederation of Midwives, International Federation of
Gynaecologists and Obstetrician. Joint statement: management of the third
stage of labour to prevent postpartum haemorrhage. Journal of Midwifery
and Womens Health 2004; 49(1): 76-7.