Multiple Pregnancy / Twin Pregnancy – Puerperium Management

Multiple Pregnancy / Twin Pregnancy – Puerperium Management:

Management of third stage

  • Routine administration of 0.2 mg methergin IV with the delivery of the anterior shoulder of second baby.
  • Placenta is delivered by controlled cord traction
  • Continue the oxytocin drip for at least one hour.
  • Blood transfusion if necessary
  • The patient is to be carefully watched for about 2hrs after delivery.