• active management;
  • cord clamping;
  • expectant management;
  • maternal mortality;
  • oxytocics;
  • passive management;
  • physiological management;
  • postpartum hemorrhage;
  • third stage of labor;
  • uterotonics

Management of the third stage of labor has been an issue of discussion, concern, and continued debate for the past two decades. Despite the many strategies employed and the divergent approaches to care and philosophies espoused, there has not been a significant, consistent reduction in the postpartum hemorrhage rates reported in industrialized countries in recent times. This article explores the strategies that have been and are currently being used in an effort to reduce the risk of postpartum hemorrhage.