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Give pethidine and diazepam iv slowly do not mix in the same syringe or use ketamine.
Steps of manual removal of placenta ppt. Performing a manual removal of the placenta. Review general care principles and start an iv infusion. The patient is put under general anesthesia in the operation theatre. I ensuring that the mothers bladder is empty if it is full this tends to prevent the uterus.
Review general care principles start an iv infusion. Maternity information simple steps which midwives can offer to help separation of the placenta include. Manual removal of placenta 1. Manual removal of placenta review for indications.
Manual removal of placenta. The sudden occurrence of hemorrhage but the placenta gives no indication of delivering. Heavy bleeding in the first 24 hours after birth is known as primary postpartum haemorrhage pph. If all attempts to remove the placenta fail a manual removal will be necessary.
Provide emotional support and encouragement. This is an educational video with animation about performing manual removal of the placenta. Manual removal of the placenta the placenta may need to be removed manually if controlled cord traction fails. If the placenta is not delivered within about 40 minutes after delivery of the baby there is a tenfold increased risk of heavy bleeding.
Procedures for manual removal of the placenta and membranes indications for use of manual removal procedures the decision to attempt manual removal of the placenta and membranes in an otherwise normal labor and birth should be based on one of two indications. The placenta is stripped from the uterine muscle gently. Give pethidine and diazapam iv slowly or use ketamine. Manual removal of a retained placenta october 2018 page 2 of 3.
Provide emotional support and encouragement. Give a single dose of prophylactic antibiotics. Manual removal of placenta 2.
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