<prompt> Which is not included in active management of 3rd stage in labor to prevent PPH?Direct oxytocin injection after delivery of shoulderImmediate cutting and cord clampingProphylactic misoprostolControlled and sustained cord traction  <response>: Ans. is b, i.e. Immediate cutting and cord clampingRef JB Sharma Obs, Pg 218Friends, Q1 is old question when uterine massage was included in active management of third stage of labor. 