English version PDF - POPPHI

Card 11Gently deliver the placenta.• Do not release support on the uterus until the placenta is visible at the vulva.• As the placenta delivers, hold it in both hands and gently turn it until the membranes are twisted.• Slowly pull to complete the delivery. Move membranes up and down until they deliver.• Place the placenta in the receptacle provided (for later examination).QUESTIONSRoutine manual exploration of the uterus is strongly discouraged because it increases therisk of infection for the woman and is extremely painful.1) Why should you gently turn the placenta as you are delivering it?2) What should you do if the membranes tear as you are delivering the placenta?KEY MESSAGES• You will prevent the membranes from tearing by gently turning the placenta as you deliver it.• If the membranes tear, gently examine the upper vagina and cervix wearing sterile gloves and use a sponge forceps to remove anypieces of remaining membrane.