Examination of the Placenta and Blood Loss

Question 1

Name the two membranes of the placenta, and whether they are on the inside or outside

Answer 1

Amnion- inside

Chorion- outside

Question 2

If the umbillical cord is placed on the side of the placenta, what is this called?

Answer 2

This is called a velamentous insertion

Question 3

On the “dirty” side of the placenta, what are the sections called?

Answer 3

cotyledons

Question 4

Why may there be some white parts on the placenta?

Answer 4

This can be caused by calcification, it is common in babies of mothers who smoke or growth restricted babies.

Question 5

Name one feature of an umbilical cord, which can show still birth

Answer 5

true knots. there are also false knots, but these do not restrict flow to baby

Question 6

How long is deemed as a retained placenta?

Answer 6

30 minutes and longer

Question 7

Give three reasons for a retained placenta

Answer 7

placenta has separated but is trapped, the placenta has not separated, or the cord has snapped.

Question 8

What is considered to be a PPH in a vaginal delivery?

Answer 8

over 500ml

Question 9

What is considered to be a PPH in a caesarean delivery?

Answer 9

over 1000ml