Obstetric and Gynecological Nursing - The Carter Center

- Full bladder
- Mismanagement of third stage of labour.
Management of retained placenta
1. Careful observation - check pulse
- Vaginal bleeding
- Check bladder
2. Gently try to deliver by controlled cord traction
3. If not manual removal followed by antibiotics
Manual removal of Placenta
Method:-Place one hand on the fundus to support the uterus,
let the other hand follow the cord until it reaches the placenta
move hand up to the edge of placenta and find where it is
partiality separated (remember it would not be bleed if it is not
separated) then move your hand up and down, until you have
it, completely separated then bring it out in your hand,
examine it.
7.8 Adherent Placenta
When the placenta one-hour after delivery still has not
speared and left the upper uterine segment. This occurs when
the placenta has grown into the uterine muscle.
Types:-
1 Placenta accreta- into muscles
2 Placenta increata- deep in muscle
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