- published: 26 May 2016
- views: 2718
Placental expulsion (also called afterbirth) occurs when the placenta comes out of the birth canal after childbirth. The period from just after the baby is expelled until just after the placenta is expelled is called the third stage of labor.
It begins as a physiological separation from the wall of the uterus. The placenta is usually expelled within 15–30 minutes of the baby being born.
Maternal blood loss is limited by contraction of the uterus following birth of the placenta. Normal blood loss is less than 600 mL.
The third stage of labor can be managed actively, or it could be managed expectantly (also known as physiological management or passive management), the latter allowing the placenta to be expelled without medical assistance.
Active management routinely involves clamping of the umbilical cord, often within seconds or minutes of birth. It may also involve giving oxytocin via intramuscular injection, followed by cord traction to assist in delivering the placenta. The oxytocic agents augment uterine muscular contraction and the cord traction assists with rapid birth of the placenta. However, premature cord traction can pull the placenta before it has naturally detached from the uterine wall, resulting in hemorrhage.
Make me vent at the knees.
I've got a phantom lung- Better than the other.
More like the broach you wore with apocryphal insignia.
It was better left untouched.
It was better left alone, for the hour of my echo is at hand.
Do you feel that respiration?
It's blocking out the sky.
Now there's no light to be shed on this painful labor.
Walking with my old limp that resonates your ego,
when i feel the resignation of my limbs.
You rode in on a horse, but wouldn't form a tryst.
Saw you ride in on a horse, but you couldn't be convinced.
Tell your brother's keeper that he's in an awful mess.
Tell your zealous mother to spay her tongue.
Tell your brother's keeper, his cuts are somewhat of a nuance
when that zealous mother bleeds for everyone
Now you feel that respiration?