Yes, doctors sometimes remove the placenta by hand. This procedure is known as manual removal of the placenta (MROP).
What is Manual Removal of the Placenta (MROP)?
Manual removal of the placenta is a medical procedure where a doctor or qualified healthcare provider manually reaches into the uterus to detach and extract the placenta. This is often necessary when the placenta does not separate naturally from the uterine wall after childbirth.
When is MROP Necessary?
Normally, after a baby is born, the placenta is expelled naturally. However, if this process fails, manual removal might be required. This can be a necessary step when:
- The placenta is retained within the uterus.
- Active management of the third stage of labor is insufficient.
Active Management of the Third Stage of Labor:
Before MROP becomes necessary, healthcare providers usually follow a protocol known as active management of the third stage of labor. This involves several steps:
- Intravenous oxytocin administration: This helps the uterus contract effectively.
- Early cord clamping: The umbilical cord is clamped shortly after birth.
- Transabdominal manual massage of the uterus: This is done to encourage uterine contractions.
- Controlled traction of the umbilical cord: Gently pulling on the cord can assist the delivery of the placenta.
If these methods are not successful, MROP is the next step.
Key Points
- MROP is performed when the placenta does not detach naturally.
- It is considered a medical procedure and requires expertise.
- Active management of the third stage of labor is usually the first line of approach.
| Step | Description |
|---|---|
| Initial Management | Oxytocin, early cord clamping, uterine massage, controlled cord traction |
| If Initial Fails | Manual removal of the placenta (MROP) is performed |
| Goal of MROP | To safely remove the placenta from the uterus when it does not detach naturally |
In conclusion, yes, doctors do remove the placenta by hand when necessary. This is a crucial procedure for managing retained placenta after childbirth.
