Have you ever heard of this?! Manual extraction of the placenta is performed if controlled cord traction and pharmacotherapy do not lead to extraction of the retained placenta. The procedure should be performed in a room where aseptic technique is easily achieved and appropriate personnel, medications, and equipment are available to deal with any complications that arise (eg, hemorrhage, placenta accreta spectrum, uterine perforation). The procedure is painful; therefore, except in cases of seve
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