Placenta removal -- a safer method after Caesareans

Jul 16, 2008

In Caesarean deliveries the placenta is usually removed by hand or by a technique known as 'cord traction'. A recent systematic review by Cochrane Researchers shows that cord traction poses less risk to the mother than manual removal.

Removal of the placenta in Caesarean births may affect a woman's chance of complications such as endometritis (infection of lining of the womb) and post-operative bleeding. One possible cause of endometritis is that bacteria on the surgeon's gloves are carried into the womb during manual removal of the placenta.

In cord traction, the surgeon's hand doesn't enter the womb. Instead the woman is given oxytocin and external massage, which detach the placenta and it is then pulled from the womb by gentle traction on the umbilical cord.

The new study compares the advantages of the two techniques. Researchers reviewed 15 trials involving a total of 4,694 women and found that there was an increased risk of endometritis and high blood loss in caesareans where the placenta was removed by hand. Women who had manual removal also stayed in hospital longer after their operations.

"Although cord traction may take a little bit longer, there are clear health benefits of this method over manual removal of the placenta," says lead researcher Rose Anorlu, a gynaecologist at the College of Medicine of the University of Lagos in Nigeria.

Source: Wiley

Explore further: Support for electronic health information varies with use

add to favorites email to friend print save as pdf

Related Stories

Study shows starving mantis females attract more males

12 minutes ago

A study done by Katherine Barry an evolutionary biologist with Macquarie University in Australia has led to the discovery that a certain species of female mantis attracts more males when starving, then do ...

Developing a reliable wind 'super grid' for Europe

12 minutes ago

EU researchers are involved in the development of a pan-European 'super grid' capable of dispersing wind power across Member States. This will bring more renewable energy into homes and businesses, help reduce ...

What's next for the Large Hadron Collider?

42 minutes ago

The world's most powerful particle collider is waking up from a well-earned rest. After roughly two years of heavy maintenance, scientists have nearly doubled the power of the Large Hadron Collider (LHC) ...

Recommended for you

Supplement maker admits lying about ingredients

8 hours ago

Federal prosecutors say the owner and president of a dietary supplement company has admitted his role in the sale of diluted and adulterated dietary ingredients and supplements sold by his company.

ICU diaries may aid survivors in recovery after discharge

Dec 15, 2014

(HealthDay)—Patient diaries kept during a hospital stay in the intensive care unit (ICU) for a critical illness may be used as a therapeutic tool to assist survivors in recovery after discharge, according ...

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.