The labor and delivery (birth) period is one of the most critical stages in the maternal, newborn, and child health (MNCH) continuum, where timely, high-quality care can mean the difference between life and death. Ensuring that every birth is attended by a skilled healthcare provider, supported by evidence-based protocols, and has access to emergency obstetric care is essential to reducing maternal and newborn mortality.

For most women, labor and delivery progress normally, leading to a safe birth with minimal complications. However, even normal deliveries require careful monitoring to ensure early detection of potential risks, such as obstructed labor, fetal distress, or excessive bleeding.

One of the leading causes of maternal mortality during childbirth is postpartum hemorrhage (PPH) – severe bleeding after delivery. If not managed promptly, PPH can lead to life-threatening complications. Preventive measures such as active management of the third stage of labor (AMTSL) – which includes uterotonic administration, controlled cord traction, and uterine massage – are critical in reducing the risk of excessive bleeding. In cases where PPH occurs, the E-MOTIVE bundle provides a systematic approach to early detection and effective management, including uterotonics, tranexamic acid (TXA), IV fluids, and escalation to advanced care if needed.

By implementing evidence-based labor and delivery practices, healthcare providers can ensure safe childbirth experiences, improve maternal and newborn survival, and reduce preventable causes of maternal and perinatal mortalities.