Following a destructive vaginal delivery, active management of the third stage of labor and thorough exploration of the genital tract for trauma are recommended.

The post-delivery care slides recommend active management of the third stage because of risk of uterine atony and postpartum haemorrhage, as well as careful inspection for trauma and laceration, including uterine rupture. They also mention an indwelling catheter for 5–7 days, broad-spectrum antibiotics for several days, and restoration of the infant's anatomy by suturing as much as possible.\n\n**Key takeaway:** Post-procedure care includes haemorrhage prevention, trauma assessment, and infection-related measures.\n\n**Glossary:** **Third stage**: The period from birth of the baby to delivery of the placenta; **uterine atony**: Failure of the uterus to contract effectively; **puerperium**: The period after childbirth.