Peeling artificial vegetables after giving birth

This is an automatically translated article.

The article was professionally consulted by BSCK II Tran Thi Mai Huong - Obstetrician and Gynecologist - Obstetrics and Gynecology Department - Vinmec Hai Phong International General Hospital
Artificial placental removal is performed when the mother after giving birth, the placenta does not fall off naturally or is still left inside the uterine cavity. After performing artificial placental removal, it is necessary to check the uterus for residual placenta or membrane and check the integrity of the uterus.

1. What is artificial peeling after giving birth?

Artificial placental removal is a procedure where the hand is inserted into the uterine cavity to remove the remaining placenta after the pregnancy has been delivered.
Indication to peel off artificial vegetables after birth in the following cases:
After about 30 minutes of pregnancy without spontaneous peeling, you must conduct artificial vegetable peeling. The placenta is still in the uterine cavity, bleeding during the placental period. In case it is necessary to check the integrity of the uterus after the abortion, the artificial placenta is removed to examine the uterine cavity. Peeling artificial vegetables is contraindicated in the following cases:
Pregnant women are in shock and need to be resuscitated before peeling artificial vegetables.

2. Steps to peel artificial vegetables

2.1. Before peeling the artificial vegetables Y, the doctor performed the procedure of peeling artificial vegetables: Wash your hands with an antiseptic solution, wear gloves and wear a sterile shirt.
Patients who need to peel artificial vegetables: Counseling and explaining about artificial vegetable peeling, and encouraging pregnant women. Instruct the pregnant woman to breathe evenly, without abdominal cramping. Before removing the artificial vegetables, the mother is catheterized, disinfected the perineum, and covered with a sterile towel.
2.2. Steps to peel artificial vegetables Step 1: This procedure requires 2 hands to coordinate. The person performing the procedure stands on the dominant hand side.
Step 2: One hand fixed the fundus of the uterus, the other hand inserted into the vagina, through the cervix to the placental area and then inserted between the placenta and the uterine wall.
Step 3: Peel the vegetable cake from the bottom, from the edge, and then go around the edge of the vegetable cake to avoid missing vegetables, leaving the vegetable film. When the placenta is completely removed, the hand in the uterus pulls the placenta out, but does not pull the hand out of the uterus, if necessary, the left hand pulls the umbilical cord to remove the placenta.
Step 4 . When the placenta comes out, check both sides of the placenta and control the uterine cavity.
2.3. Follow-up after artificial vegetable peeling After the artificial vegetable peeling is done, it is necessary to check the side effects, pulse, blood pressure, uterine contractions, blood flow from the vagina of the patient to prevent complications. complications and timely intervention.
After the implementation, it is necessary to monitor the side effects of the patient's blood pressure, pulse,.

Postpartum artificial placental abruption is a procedure where the hand is inserted into the uterus to remove the remaining placenta after childbirth, so it will cause pain and fear for the mother, so mothers need to be consulted and psychological preparation to coordinate well with the procedure during dissection.

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