Retained Placenta and Uterine Inversion Flashcards
1
Q
Retained Placenta:
How long of the 3rd stage of labour does the placenta become retained? - think of each type of management
A
> 30 minutes with active management
>60 minutes with physiological management
2
Q
Retained Placenta:
Management:
- Why should excessive cord pulling be avoided - 2
- Why does breastfeeding or putting the baby to the breasts help?
- How can oxytocin be administered?
- Why should the bladder be emptied?
- What can be done if the placenta doesn’t come out after 30 minutes?
A
Cord may snap or the uterus may invert
Stimulates oxytocin release = contractions
Through the umbilical vein and proximally clamping cord
A full bladder causes uterine atony
Manual removal either in-room or in theatre with regional anaesthesia.
3
Q
Uterine Inversion:
Why may the mother go into which would usually happen in haemorrhage?
How is it put back into position?
What is done if this fails?
A
Shock due to increased vagal tone
Pushing the fundus through the cervix
Taken to theatre
