MANUAL PLASENTA || ROLE PLAY KEBIDANAN

Summary

This video outlines the essential steps in postpartum care, detailing the procedures for placenta removal after childbirth. It describes the administration of oxytocin, manual placenta removal if necessary, checking for bladder fullness, and performing uterine massage. The script emphasizes patient consent, monitoring for any complications, and ensuring thorough hygiene practices, including cleaning the mother and sterilizing tools. Finally, it includes documentation of the entire process and proper disposal of protective equipment. Overall, it highlights the careful medical steps involved in ensuring a safe recovery for the mother post-delivery.

Takeaways

• 😀 The first injection of oxytocin is given after birth, and then the placenta is monitored for delivery every 15 minutes.
• 😀 If the placenta isn't delivered naturally, a second oxytocin injection is administered before performing a manual transfer of the placenta.
• 😀 After 30 minutes, if the placenta has not been born, the process of manual extraction is initiated with consent from the mother.
• 😀 An IV is administered to the mother, followed by the administration of 20 units of oxytocin to stimulate uterine contractions.
• 😀 The bladder is checked for fullness; if full, catheterization is performed to ensure it doesn't interfere with placenta delivery.
• 😀 The healthcare provider uses their left hand to hold the umbilical cord, while the right hand enters the vaginal opening to locate the cervix and placenta.
• 😀 The procedure involves tracing the umbilical cord to the placenta’s base, checking the lowest insertion site, and exploring for any remaining placenta.
• 😀 After confirming the area is clean, the placenta is removed slowly and carefully, followed by massage of the uterus to ensure it becomes firm.
• 😀 A laceration check is done to ensure no injuries occurred during delivery, followed by cleaning the mother and replacing undergarments.
• 😀 After cleaning, all tools are soaked in a chlorine solution for 10 minutes before being properly cleaned and disinfected.
• 😀 Personal protective equipment (PPE) is removed, hands are washed, and documentation of the procedure is completed.

Q & A

What is the first step in the procedure after the baby is born?

The first step is to administer the first injection of oxytocin to help facilitate the expulsion of the placenta.

How long do the healthcare providers wait after administering the first oxytocin injection before taking further action?

They wait for 15 minutes to see if the placenta is expelled naturally.

What happens if the placenta is not expelled after the second injection of oxytocin?

If the placenta is still not expelled after the second injection, a manual removal procedure is performed.

What is done to ensure the bladder is not distended during the procedure?

The bladder is checked, and if it is full, catheterization is performed to empty it.

What steps are taken when preparing for manual removal of the placenta?

Consent is obtained from the mother, sterile gloves are worn, and the medical team ensures the bladder is empty before beginning the procedure.

How does the healthcare provider begin the manual removal of the placenta?

The provider uses their left hand to hold the umbilical cord, while their right hand enters the vaginal introitus to trace the cervix and locate the placenta.

What is the significance of checking the lowest point of placenta insertion?

It helps identify the placenta's base and ensures proper detachment for removal.

What happens after the placenta is removed from the uterus?

After removal, the uterus is massaged to encourage uterine contraction and ensure it becomes firm, and any remaining placenta is checked.

How is the mother checked for any lacerations after the placenta removal?

The healthcare provider performs a thorough laceration check to ensure there are no tears or injuries in the vaginal or cervical areas.

What is done to clean the tools after the procedure?

All medical tools are soaked in a chlorine solution for 10 minutes to sterilize them.

What is the final step in the procedure?

The final step is to document the procedure, ensuring that all actions, outcomes, and any complications are noted.