**Active Management of Third Stage of Labour**

**Core Concept**
Active management of the third stage of labour (AMTSL) is a procedure aimed at preventing postpartum hemorrhage (PPH) by promoting uterine contractions and preventing excessive bleeding after delivery. It involves a combination of uterotonic agents, controlled cord traction, and uterine massage to minimize blood loss.

**Why the Correct Answer is Right**
The correct steps in AMTSL include administration of a uterotonic agent (such as oxytocin or ergotamine) to stimulate uterine contractions, controlled cord traction to facilitate placental delivery, and uterine massage to promote further contractions and expel any remaining placental tissue. These steps are essential in preventing PPH, a leading cause of maternal mortality worldwide.

**Why Each Wrong Option is Incorrect**
**Option A:** This option is not a standard step in AMTSL. While it may be a part of postpartum care, it is not directly related to the active management of the third stage of labour.
**Option B:** This is a key step in AMTSL, as controlled cord traction helps to facilitate placental delivery and reduce blood loss.
**Option C:** This is also an essential step in AMTSL, as uterine massage promotes further contractions and expels any remaining placental tissue.
**Option D:** This is another key step in AMTSL, as uterotonic agents stimulate uterine contractions and reduce bleeding.

**Clinical Pearl / High-Yield Fact**
A mnemonic to remember the steps in AMTSL is "UTERUS": Uterotonic agent, Traction, Uterine massage, and Rest (to allow the uterus to contract and expel any remaining placental tissue).

**Correct Answer: A.**