Signs of the Department of Afterbirth

The expulsion of the afterbirth is the final stage of physiological births. On how quickly and "qualitatively" the birth of the placenta and membranes will take place, the health of the woman and the need for cleaning after childbirth depends.

Usually the latter is separated and born on its own within 30 minutes after the appearance of the baby. Sometimes this process is delayed up to 1-2 hours. In this case, the obstetrician determines the signs of separation of the afterbirth.

The most important signs of separation are:

  1. A sign of Schroeder. After the birth of the baby, the uterus becomes round and is located in the center of the abdomen, and its bottom is at the level of the navel. After separation, the uterus stretches and contracts, its bottom is defined above the navel, often it deviates to the right.
  2. Sign of Dovzhenko. If the placenta has separated, then with a deep breath, the umbilical cord is not drawn into the vagina.
  3. A sign of Alfeld. Separating, the placenta descends into the lower part of the uterus or into the vagina. In this case, the clamp applied to the umbilical cord is lowered by 10-12 cm.
  4. A symptom of Klein. The woman strains. The placenta has separated from the uterine wall, if after the termination of an exertion the protruding end of the cord is not drawn into the vagina.
  5. A sign of Kyustner-Chukalov. The rib of the palm is pressed against the uterus above the pubis, if the protruding end of the umbilical cord is not drawn into the birth canal, the placenta is separated.
  6. Sign of Mikulich-Radetsky. Separating from the uterine wall, the latter descends into the birth canal, at this moment there may be a urge to exert pressure.
  7. Sign of Hohenbichler. If the placenta has not separated, with contractions of the uterus, the umbilical cord protruding from the vagina can rotate around its axis, since the umbilical vein is full of blood.

Detachment of the placenta is diagnosed by 2-3 signs. The most reliable are the signs of Alfeld, Schroeder and Kyustner-Chukalov. If the latter is separated, the mother is offered to labor. As a rule, this is enough for the birth of the placenta and membranes.

When the delay is delayed, there are no signs of its separation, with external and internal bleeding, manual separation of the afterbirth occurs.