Benefits of Normal Delivery for theMother and Baby

Give oxytocin after delivering the baby. Place a basin and
clamp the umbilical cord. Gently pull the cord. Once
delivered, inspect the cord and the birth canal. Massage the
uterus. Look for common abnormalities of cord insertion,
including marginal insertion, in which the cord inserts
along the placental edge, and velamentous insertion, in
which the cord ends before reaching the placenta and some
vessels run through the membrane unprotected by
Wharton's jelly. Note the cotyledons. If uncertain, assess
the mother for retained products of conception.
About the Merck Manuals:
First published in 1899 as a small reference book for
physicians and pharmacists, The Merck Manual grew in
size and scope to become one of the world's most widely
used comprehensive medical resources for professionals and
consumers. As The Manual evolved, it continually
expanded the reach and depth of its offerings to reflect themission of providing the best medical information to a wide
cross-section of users, including medical professionals and
students, veterinarians and veterinary students, and
consumers.Procedure by Kate Leonard, MD, and Will Stone, MD,
Walter Reed National Military Medical Center Residency in
Obstetrics and Gynecology; and Shad Deering, COL, MD,
Chair, Department of Obstetrics and Gynecology,
Uniformed Services University. Assisted by Elizabeth N.
Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie
Bradshaw at the Val G. Hemming Simulation Center at the
Uniformed Services University.
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