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    Signs of Placental Separation

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    Malou Yap Buot
    There are four stages of labor: 1) cervical dilation and effacement, 2) delivery of the baby, 3) delivery of the placenta, and 4) stabilization of the woman. Signs that the placenta is separating include the uterus becoming firm, a gush of blood from the vagina, lengthening of the umbilical cord, and the appearance of the placenta at the vaginal opening. The placenta typically separates from the center outward in 80% of cases, while in 20% of cases it separates from the edges inward.

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    Signs of Placental Separation

    Uploaded by

    Malou Yap Buot
    11K views1 page
    There are four stages of labor: 1) cervical dilation and effacement, 2) delivery of the baby, 3) delivery of the placenta, and 4) stabilization of the woman. Signs that the placenta is separating include the uterus becoming firm, a gush of blood from the vagina, lengthening of the umbilical cord, and the appearance of the placenta at the vaginal opening. The placenta typically separates from the center outward in 80% of cases, while in 20% of cases it separates from the edges inward.

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    There are four stages of labor: 1) cervical dilation and effacement, 2) delivery of the baby, 3) delivery of the placenta, and 4) stabilization of the woman. Signs that the placenta is separating include the uterus becoming firm, a gush of blood from the vagina, lengthening of the umbilical cord, and the appearance of the placenta at the vaginal opening. The placenta typically separates from the center outward in 80% of cases, while in 20% of cases it separates from the edges inward.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11K views1 page

    Signs of Placental Separation

    Uploaded by

    Malou Yap Buot
    There are four stages of labor: 1) cervical dilation and effacement, 2) delivery of the baby, 3) delivery of the placenta, and 4) stabilization of the woman. Signs that the placenta is separating include the uterus becoming firm, a gush of blood from the vagina, lengthening of the umbilical cord, and the appearance of the placenta at the vaginal opening. The placenta typically separates from the center outward in 80% of cases, while in 20% of cases it separates from the edges inward.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Signs of Placental Separation

     Calkin’s sign – 1st sign of placental separation. Uterus becomes firm and globular rising to the
    level of the umbilicus.
     Sudden gush of blood from the vagina
     Lengthening of the cord as the placenta separates form the uterus
     Appearance of the placenta at the vaginal opening

    Different Stages of Labor

    1st stage of labor: Cervical dilatation and effacement

    - Period from the onset of true labor contractions until full cervical dilatation and effacement is
    achieved
    - Effacement – shortening of the cervical canal; express in percentage
    - Dilatation – enlargement or widening of the cervical canal; expressed in cm

    2nd stage: Expulsive stage/ delivery of the baby

    - Occurs from full cervical dilatation until the birth of the baby
    - Birth of the baby

    3rd stage: Placental stage/ expulsion of the placenta

    - Delivery of the baby to the expulsion of the placenta


    - Delivery of the placenta

    4th stage: immediate postpartum period/ transition phase

    - Period from the delivery of the placenta until the condition of the woman has stabilized

    Types of Episiotomy

    Schultze’s Mechanism – separation of the placenta starts from the center. Shiny smooth fetal side is
    delivered first. 80%

    Duncan Mechanism – separation begins from the edges of placenta. Maternal side is delivered first. 20%

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