Ruth Wingeier, CNM, MS, is currently a nurse-midwife at Group Health, Inc., a large health maintenance organization in the Twin Cities. She received her M.S. and nurse-midwifery education from the University of Minnesota in 1982, then spent five years working as a midwife m a small rural practice in north-central Minnesota. More recently, she taught full-time at the University of Minnesota nurse-midwifery educational program and is currently an adjunct faculty member there. She is also a member of the Clinical Practice Committee and an assistant editor for JNM.
MANAGEMENT OF RETAINED PLACENTA USING INTRAUMBILICAL OXYTOCIN INJECTION
Article first published online: 6 JAN 2011
1991 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 36, Issue 4, pages 240–244, July-August 1991
How to Cite
Wingeier, R. and Griggs, R. (1991), MANAGEMENT OF RETAINED PLACENTA USING INTRAUMBILICAL OXYTOCIN INJECTION. Journal of Nurse-Midwifery, 36: 240–244. doi: 10.1016/0091-2182(91)90085-4
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
Manual removal of the placenta carries significant risk of hemorrhage and infection plus the risks associated with general anesthesia, if used. Transporting the patient from home or birthing center to hospital or from birthing room to delivery room or operating room is also disruptive to the patient and the initial parent–infant attachment process. The injection of oxytocin into the umbilical vein is a safe procedure that can cause placental separation and delivery, thus preventing the need for manual removal for some women. This technique can be useful in a nurse-midwifery practice in the management of a retained placenta or prolonged third stage of labor. The following review of current research and example of a protocol used in a nurse-midwifery service will provide guidance for incorporating this procedure into practice. As with any new technique, the need to continue to collect and publish outcome data is important.