How to Deliver and Inspect the Placenta | Merck Manual Professional Version

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Learn how to deliver and inspect the placenta:

Give oxytocin after delivering the baby. Place a basin and clamp the umbilical cord. Gently pull the cord. Once delivered, inspect the cord and the birth canal. Massage the uterus. Look for common abnormalities of cord insertion, including marginal insertion, in which the cord inserts along the placental edge, and velamentous insertion, in which the cord ends before reaching the placenta and some vessels run through the membrane unprotected by Wharton’s jelly. Note the cotyledons. If uncertaion, assess the mother for retained prodcuts of conception.

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Procedure by Kate Leonard, MD, and Will Stone, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Uniformed Services University. Assisted by Elizabeth N. Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.