Component Task: Examination of The Placenta

This is the process where the midwife observes and inspect the placenta accurately after its expulsion.

Aims

·         Ensure that the placenta is complete

·         Facilitate early detection of any abnormality of the placenta, membranes, lobes and cord

·         Aid in further examination of the mother for retained products of conception

·         Prevent postpartum haemorrhage

Requirements

·         Good light source

·         Kidney dish

·         Disposable gloves

·         Disposable polythene bag

·         Mackintosh apron

·         Receiver

Steps

1.        Ensure good light source as area of examination

2.      Wear mackintosh apron and don gloves

3.      Receive placenta and wash under running water

4.      Observe placental size and shape

5.      Inspect the maternal surface in cupped hand or flat surface

6.      Ensure that all lobes of the placenta is complete

7.       Turn the placenta and observe foetal surface

8.      Observe the insertion of the cord

9.      Check blood vessels (two arteries and one vein)

10.    Check the length of the cord

11.      Check presence of knots

12.    Dispose off and decontaminate used items

13.    Perform hand hygiene

14.    Record in Maternal and Child Health Record Book (Manual/Electronic)

15.    Report any abnormalities to officer in-charge