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Controlled cord traction (CCT) consists of pulling on the umbilical cord while applying counter pressure to help deliver the placenta. [5] It may be uncomfortable for the mother. Its performance requires specific training. Premature cord traction can pull the placenta before it has naturally detached from the uterine wall, resulting in hemorrhage.
Gross pathology of a uterus which has been opened to show a placental abruption, with a hematoma separating the placenta from the uterus. In the vast majority of cases, placental abruption is caused by the maternal vessels tearing away from the decidua basalis, not the fetal vessels. The underlying cause is often unknown.
Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.
She related to me that she had just started pulling the placenta out and that’s usually the time when this occurs — the separation of the placenta and uterus,” he continued. “She wasn’t ...
The placenta connects to the fetus via the umbilical cord, and on the opposite aspect to the maternal uterus in a species-dependent manner. In humans, a thin layer of maternal decidual ( endometrial ) tissue comes away with the placenta when it is expelled from the uterus following birth (sometimes incorrectly referred to as the 'maternal part ...
Risk factors include pulling on the umbilical cord or pushing on the top of the uterus before the placenta has detached. [1] Other risk factors include uterine atony, placenta previa, and connective tissue disorders. [1] Diagnosis is by seeing the inside of the uterus either in or coming out of the vagina. [2] [6]
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Ischemic placental disease leads to the attachment of the placenta to the uterine wall to become under-perfused, causing uteroplacental ischemia. Where the term overarches the pathology associated with preeclampsia , placental abruptions and intrauterine growth restriction (IUGR). [ 3 ]