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Obstetric and Gynecological Nursing - The Carter Center

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Identification On inspection, the placenta will appear torn at<br />

the edge, or torn blood vessles may extend beyond the edge<br />

of the placenta.<br />

Circumvallate placenta In this situation an opaque ring is<br />

seen on the fetal surface. It is formed by a doubling back of<br />

the chorion <strong>and</strong> amnion.<br />

Danger may result in the memberanes leaving the placenta<br />

nearer the center instead of at the adge as usually.<br />

Battledore inseration of the cord <strong>The</strong> cord in this case is<br />

attached at the very edge of the placenta in the manner of the<br />

table tennis bat.<br />

Danger Likely it is detached up on applying traction during<br />

active management of the third stage of labour.<br />

Velamentous insertion of the cord It is inserted into the<br />

memberans some distance from the edge of the placenta. <strong>The</strong><br />

umblical vessles run through the memberanous frorm the cord<br />

to the placneta.<br />

Danger <strong>The</strong> vessles may tear with cervical dilatation <strong>and</strong><br />

would result in sudden blood loss.<br />

Bipartite Placenta Two complete <strong>and</strong> separate lobes are<br />

present, each with a cord leaving it. <strong>The</strong> bipartite cord joins a<br />

short distance from the two parts of the placenta.<br />

Danger-<strong>The</strong> extra lobe may retained during delivery.<br />

47

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