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Integrated Maternal and Newborn Care Basic Skills Course ...

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Instruct the woman how to massage her own uterus, <strong>and</strong> ask her to call if her uterus becomes<br />

soft (Figure 5.20).<br />

Figure 5.20. Teach the woman how to<br />

massage her own uterus. (POPPHI, 2007)<br />

<strong>Care</strong> after delivery of the placenta<br />

7. Examine the placenta.<br />

Examine the fetal <strong>and</strong> maternal sides of the placenta <strong>and</strong> membranes to ensure they are<br />

complete. A small amount of placental tissue or membranes remaining in the woman can<br />

prevent uterine contractions <strong>and</strong> cause PPH.<br />

Note: Follow infection prevention guidelines when h<strong>and</strong>ling<br />

contaminated equipment, supplies, <strong>and</strong> sharps.<br />

1. To examine the placenta for completeness hold the placenta in the palms of the<br />

h<strong>and</strong>s with the maternal side facing upward <strong>and</strong> make sure that all lobules are<br />

present <strong>and</strong> fit together (Figure 5.21).<br />

Figure 5.21. Examining the maternal side of the placenta.<br />

(Gomez, et al, 2005)<br />

72<br />

<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />

<strong>Basic</strong> skills course

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