Placenta Separation and Delivery – Key Knowledge

1. Signs of Placental Separation:

• Using the edge of your hand, press on the fundus and push the uterus upwards. If you observe the umbilical cord being pulled into the vagina, this is a sign of placental separation. (Answer A)

2. Boundary of Placental Separation:

• Between the firm (solid) layer and the spongy layer of the decidua. (Answer C)

3. Mechanism of Placental Separation:

• Uterine contraction. (Answer C)

4. Early Signs of Postpartum Hemorrhage:

• Pulse (heart rate) above 90 beats/minute. (Answer A)

5. Timing for Early Postpartum Breastfeeding:

• ≤ 30 minutes. (Answer A)

6. Management of Postpartum Hemorrhage:

• Measure pulse, blood pressure, and check the source of bleeding. (Answer C)

7. Baudelocque Placental Separation:

• Separation occurs from the center outwards. (Answer A)

8. Methods of Placental Delivery:

• There are two methods of placental delivery. (Answer C)

9. Most Important Mechanism for Hemostasis in Placental Delivery:

• Contraction of the interlacing muscle bundles in the uterine body. (Answer C)

10. Management of Retained Placenta:

• Lower the placenta into the palm of your hand and rotate the placenta to release the remaining membrane. (Answer A)

11. Number of Placental Separation and Delivery Methods:

• 2 types of separation and 2 types of delivery. (Answer A)

12. Active Management of the Third Stage of Labor:

• Administer 10 IU of oxytocin intramuscularly after delivery of the baby, controlled traction of the umbilical cord, and fundal massage after placental delivery. (Answer A)

13. Incidence of Baudelocque Placental Separation:

• 75%. (Answer C)

14. Incidence of Duncan Placental Separation:

• 25%. (Answer D)

15. Average Surface Area of Placental Villi:

• 12 – 14m2. (Answer A)

16. Duration of the Uterus’s Safety Margin After Placental Delivery:

• 2 hours. (Answer B)

17. Type of Placental Delivery:

• Baudelocque delivery is more common and causes less bleeding. (Answer D)

Note: This information is basic knowledge about placental separation and delivery. For a deeper understanding, consult with an obstetrician-gynecologist.