In postpartum women, retained placenta is diagnosed in the absence of signs of placental separation and expulsion, and requires manual removal of the placenta (MROP). MROP may lead to massive hemorrhage, hemodynamic instability, and the need for emergency interventions including blood transfusion, interventional radiology, and hysterectomy. REMOVAL OF RETAINED PLACENTA IN COW/ BY DOCTOR HAND/হাত দিয়ে কীভাবে গাভীর গর্ভফুল? RIT cow treatmentrit cow treatment,REMOVAL OF RETAINED Although NICE. 2014 recommends the use general anaesthesia or regional anaes-. thesia for alleviating pain and discomfort during manual removal. of retained placenta, these interventions have some To watch or download this film for free, visit medicalaidfilms.org/film/how-to-perform-manual-removal-of-the-placenta/-------------MEDICAL AID FIL If all attempts to remove the placenta fail, a manual removal will be necessary. This will be done under general anaesthetic. A spinal or . epidural will be used so that the obstetrician can safely and painlessly remove the placenta. You will also need a course of antibiotics to prevent infection. I had a retained placenta with my first labour. Sometimes the placenta gets stuck on the wall of the womb (retained placenta) and does not deliver. These women usually require manual removal of the placenta under anesthesia (either a general or regional). Infection and bleeding are the important complications of manual removal. The standard treatment for retained placenta is manual removal whatever its subtype (adherens, trapped or partial accreta). Although medical treatment should reduce the risk of anesthetic and surgical complications, they have not been found to be effective. This may be due to the contrasting uterotonic needs of the different underlying pathologies. Manual removal of placenta (MROP) is a commonly performed procedure on the delivery suite. There is limited evidence suggesting the ideal regional anaesthetic regimen for this procedure. A block height of T10, recommended in early studies, is associated with a high incidence of discomfort during and after the procedure 1, 2. The technique of spinal anaesthesia for manual removal of placenta was examined prospectively in 101 women. Factors associated with maternal discomfort during surgery were the height of the block Performing a manual removal of the placenta. This is an Educational video with animation about performing manual removal of the placenta. This can be a life