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Placental Examination: Mrs - Muthulakshmi.C Assistant Professor Department of Obgn Scon, Simats

This document provides information about placental examination, including its definition, purposes, necessary articles, and examination procedure. The purposes are to ensure the entire placenta and membranes have been expelled, check for normal size/shape/weight, and detect any abnormalities. The procedure involves examining both surfaces of the placenta for completeness and abnormalities, measuring the cord length, and weighing the placenta. Findings are recorded to communicate observations between staff.

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Monika shankar
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247 views13 pages

Placental Examination: Mrs - Muthulakshmi.C Assistant Professor Department of Obgn Scon, Simats

This document provides information about placental examination, including its definition, purposes, necessary articles, and examination procedure. The purposes are to ensure the entire placenta and membranes have been expelled, check for normal size/shape/weight, and detect any abnormalities. The procedure involves examining both surfaces of the placenta for completeness and abnormalities, measuring the cord length, and weighing the placenta. Findings are recorded to communicate observations between staff.

Uploaded by

Monika shankar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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PLACENTAL EXAMINATION

MRS.MUTHULAKSHMI.C
A S S I S TA N T P R O F E S S O R
D E PA R T M E N T O F O B G N
S C O N , S I M AT S .
DEFINITION

A thorough inspection and examination of


the placenta and membranes, soon after
expulsion, for its completeness and
normalcy.
-Annamma Jacob
PURPOSES

To ensure that the entire placenta and membranes have


been expelled and no part has been retained.
To make sure that placenta is normal size, shape,
consistency and weight.
To detect abnormalities such as infractions, calcification
(or) additional lobes.
To ascertain the length of the cord, number of blood
vessels site of insertion of the cord.
To check weight of placenta and measure length of cord.
ARTICLES

Placenta in a bowl.
A washable surface to lay the placenta for
examination.
A weighing machine.
Kidney tray.
Pair of clean gloves.
PROCEDURE
S.NO NURSING ACTION RATIONLE

1. Don gloves. Protect from contamination.

2. Using gloved hands hold the Hanging membranes will provides


placenta by the cord allowing the a better view to check its
membranes to hang (twisting the completeness.
cord twice around the fingers will
provide a firm grip).

3. Identify the hole through which the If the membranes are not torn into
baby was delivered. pieces, a single round hole can be
identified clearly.
4. Insert hand through the hole and The position of cord insertion and
spread out the fingers to view the the course of blood vessels can be
membranes and the blood vessels. noted in this position.
HOLDING THE PLACENTA
PROCEDURE

S.NO NURSING ACTION RATIONAALE

5. Remove the hand from inside the Normally the cord is inserted in
membranes and lay the placenta on the center of placenta. Lateral or
flat surface with the fetal surface up. velmantous may be noted.
Identify the site of cord insertion.
6. Examine the two membranes, amnion Amnion is shiny and chorion is
and chorion for completeness and shaggy. Amnion can be peeled
presence of abnormal vessels from the chorion upto the
indicating succenturiate lobe. umbilical cord.

7. Invert the placenta, expose the


maternal surface and remove any
clots present.
MATERNAL AND FETAL SURFACE
PROCEDURE

NURSING ACTION RATIONALE


S.NO

8. Examine the maternal surface by Ensures that no part of the


spreading it in the plams of your placenta or membranes is left
two hands and placing the inside the uterus.
cytoledons in close approximation
9. Assess for presence of abnormalities
such as infractions, calcifications or
succenturiate lobes.

10. Inspect the cute end of the umbilical Two arteries and one vein should
cord for presence of three umbilical normally be seen. Absence of any
vessels artery may be associated with
renal abnormalities.
UMBILICAL VESSELES
PROCEDURE
S.NO NURSING ACTION RATIONALE

11. Measure the length of the Average length of the cord is 50


umbilical cord by holding it cm.
extended against a graduated
surface/side of the weighing scale.
12. Weigh the placenta by placing it on Normally the placenta weight is
the weighing scale meant for the about 1/6 th of the baby’s weight.
purpose.
13. Place the placenta in the bin for
proper disposal.

14. Clean the area used for


examination of the placenta and
membranes, the weighing scale
and the bowl.
PROCEDURE
S.NO NURSING ACTION RATIONALE

15. Remove gloves and wash


hands.

16. Record in the patient’s chart, Acts as a communication


the findings of placental between staff members.
examination and weight of
the placental, length of the
cord and any special
observations made.
THANK YOU

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