artificial placenta removal

Manual stripping of the placenta is performed by hand peeling off the surgery that is retained in the intrauterine placenta. Treatment of diseases: uterine sarcoma uterine cancer Indication After the baby is delivered, the placenta is completely or not completely peeled off, there is vaginal bleeding, or the fetus does not peel off 20 minutes after delivery. Preoperative preparation 1. Detailed medical history and comprehensive physical examination to exclude vaginal delivery contraindications, placenta preposition. 2. Disinfect the vulva. 3. Cervical scores estimate cervical maturity. Surgical procedure The mother takes the bladder lithotomy position, the surgeon replaces the surgical gown and gloves, the vulva is re-sterilized, the disinfection towel is changed, and the catheter is guided. One hand is placed on the abdomen and pushes the palace body downwards. The other hand's fingers are conical, and the umbilical cord extends into the uterine cavity to find the edge of the placenta. If the placenta is peeled off but is incarcerated by the cervix, the placenta can be grasped. Direction, rotate to remove. If the placenta has not been peeled off, the back of the surgeon's hand is close to the wall of the palace, and the palm faces the mother's face of the placenta. The placenta is slowly separated from the wall by the ulnar side of the palm. After the whole placenta is peeled off, the whole placenta can be grasped. When the umbilical cord is pulled by hand, the placenta is delivered. Do not grasp part of the placenta, artificially caused the placenta to break, bleeding more. complication The membrane is ruptured and the umbilical cord is prolapsed.

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