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CASE #2: DON’T PULL TOO HARD

It is 2am when the hospital calls. There has been a normal vaginal delivery attended by the experienced local midwife in the Hospital birthing suite – but during controlled cord traction the cord has separated from the placenta which is retained.

Your obstetric colleague is also on the way in but has asked for your assistance should a manual removal of placenta in theatre be needed.

The drive in takes six minutes. What extra information would you require and what would be your approach to this patient?

Answers invited – the prize for best answer(s) will be an invitation to a future RuralDoctorsNet podcast…

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