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: Ebola scare boosts business for US company

add to favorites email to friend print save as pdf

Related Stories

Audi to develop Tesla Model S all-electric rival

15 hours ago

The Tesla Model S has a rival. Audi is to develop all-electric family car. This is to be a family car that will offer an all-electric range of 280 miles (450 kilometers), according to Auto Express, which ...

New largest number factored on a quantum device is 56,153

16 hours ago

(Phys.org)—Researchers have set a new record for the quantum factorization of the largest number to date, 56,153, smashing the previous record of 143 that was set in 2012. They have shown that the exact same room-t ...

Recommended for you

Ebola scare boosts business for US company

16 hours ago

The Ebola scare has subsided in the United States, at least temporarily, but an Alabama manufacturer is still trying to catch up with a glut of orders for gear to protect against the disease.

Thai parliament votes to ban commercial surrogacy (Update)

Nov 28, 2014

Thailand's parliament has voted to ban commercial surrogacy after outrage erupted over the unregulated industry following a series scandals including the case of an Australian couple accused of abandoning a baby with Down's ...

Doctor behind 'free radical' aging theory dies

Nov 25, 2014

Dr. Denham Harman, a renowned scientist who developed the most widely accepted theory on aging that's now used to study cancer, Alzheimer's disease and other illnesses, has died in Nebraska at age 98.

Mexican boy who had massive tumor recovering

Nov 25, 2014

An 11-year-old Mexican boy who had pieces of a massive tumor removed and who drew international attention after U.S. officials helped him get treatment in the southwestern U.S. state of New Mexico is still recovering after ...

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.