Umbilical vein injection for management of retained placenta

RHL practical aspects by Purwar MB

The introduction of new policy decision for management of retained placenta requires careful assessment of facilities available and training of the personnel in the new technique and close supervision after the introduction of policy decision.

FIRST CONTACT (PRIMARY CARE) LEVEL

At primary care level doctors and nursing staff should be trained in the use of intraumbilical vein injection of saline and oxytocin for the management of retained placenta. If trained staff are not present women with retained placenta should be transferred to secondary care without delay.

REFERRAL HOSPITAL (SECONDARY CARE) LEVEL

Staff should be trained in intraumbilical vein injection with saline and oxytocin. At this level, blood transfusion and operating theatre services for manual removal of placenta should be available for appropriate management of retained placenta.

AT HOME OR IN THE COMMUNITY

Even today one third of total pregnant women in developing countries are delivering at home (1). These deliveries are assisted either by relatives or trained / untrained traditional birth attendants (TBA). In communities where home delivery is common women and birth attendants should be educated about retained placenta and the need for prompt transfer in such cases.

References

  • Chatterjee Alokendu. Safe Motherhood In : Principals and practice of Obstetrics and Gynaecology for Postgraduates. FOGSI Publication. Eds.: Buckshee K, Patwardhan VB, and Soonawala R.P. Jaypee Brothers Medical Publishers, P.O. Box 7193, New Delhi-110 002 First edition 1996 .

This document should be cited as: Purwar MB. Injection into umbilical vein for management of retained placenta: RHL practical aspects (last revised: 15 January 2002). The WHO Reproductive Health Library; Geneva: World Health Organization.

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