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    Station 7: Model

    Uploaded by

    Abdisalaam Hassan
    The document describes the steps for manually removing a retained placenta, including explaining the procedure to the patient, administering medications, preparing the area, clamping and gently pulling the umbilical cord, inserting a hand into the uterus to locate and detach the placenta around its edges, slowly withdrawing the placenta, ensuring all tissue is removed, giving oxytocin, and examining and repairing any tears.

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    Station 7: Model

    Uploaded by

    Abdisalaam Hassan
    11 views2 pages
    The document describes the steps for manually removing a retained placenta, including explaining the procedure to the patient, administering medications, preparing the area, clamping and gently pulling the umbilical cord, inserting a hand into the uterus to locate and detach the placenta around its edges, slowly withdrawing the placenta, ensuring all tissue is removed, giving oxytocin, and examining and repairing any tears.

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    The document describes the steps for manually removing a retained placenta, including explaining the procedure to the patient, administering medications, preparing the area, clamping and gently pulling the umbilical cord, inserting a hand into the uterus to locate and detach the placenta around its edges, slowly withdrawing the placenta, ensuring all tissue is removed, giving oxytocin, and examining and repairing any tears.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11 views2 pages

    Station 7: Model

    Uploaded by

    Abdisalaam Hassan
    The document describes the steps for manually removing a retained placenta, including explaining the procedure to the patient, administering medications, preparing the area, clamping and gently pulling the umbilical cord, inserting a hand into the uterus to locate and detach the placenta around its edges, slowly withdrawing the placenta, ensuring all tissue is removed, giving oxytocin, and examining and repairing any tears.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Manual removal of placenta techniques.

    Station 7
    Model
    The mannequin represents Nimco, a 20 years old G4P3 who has delivered a term baby, but the
    placenta is not delivered yet for one hour with vaginal bleeding. The baby is fine. Please show
    and describe how you would deliver the placenta using all steps of manual removal of placenta
    techniques.
    Achieved Not Achieved
    Introduction and explanation to the patient
    Review general care principles and start an IV infusion
    and/or blood transfusion.
    Provide emotional support and encouragement.
    Give pethidine and diazepam IV slowly (do not mix in the
    same syringe) or use ketamine.
    Give af prophylactic antibiotics:
    Cleaning of vulva and perineum with antiseptic solution
    Empty the bladder

    Hold the umbilical cord with a clamp


    Pull the cord gently until it is parallel to the floor
    Wearing high-level disinfected gloves
    insert a hand into the vagina and up into the uterus
    move the other hand up over the abdomen in order to support
    the fundus of the uterus and to provide counter-traction during
    removal to prevent inversion of the uterus
    Move the fingers of the hand laterally until the edge of the
    placenta is located
    Detach the placenta from the implantation site
    Proceed slowly all around the placental bed until the whole
    placenta is detached from the uterine wall
    Hold the placenta and slowly withdraw the hand from the
    uterus, bringing the placenta with it
    If the placenta does not separate from the uterine
    surface by gentle lateral movement of the fingertips at the
    line of cleavage, suspect placenta accreta and proceed to
    laparotomy and possible subtotal hysterectomy.

    Palpate the inside of the uterine cavity to ensure that all


    placental tissue has been removed
    Give oxytocin and fundus massage
    Examine the uterine surface of the placenta to ensure that it is
    complete
    Examine the woman carefully and repair any tears to the
    cervix or vagina, or repair episiotomy

    Note: the examiner may say “is there anything else that should be done now” if the student
    stops after delivering the placenta

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