Manual placenta removal

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Manual placenta removal is a procedure to remove a retained placenta from the uterus after childbirth. It is usually carried out under anaesthesia or more rarely, under sedation and analgesia. A hand is inserted through the vagina into the uterine cavity and the placenta is detached from the uterine wall and then removed manually. If the placenta does not separate easily from the uterine surface, there may be a placenta accreta.