Can doctor physically remove placenta with hand?

In rare cases, a manual removal of the placenta may be necessary. This procedure, known as manual extraction of the placenta, is performed by a healthcare professional, typically an obstetrician, when the placenta does not separate naturally from the uterine wall after childbirth. Here's how it's done:

1. Preparation: The healthcare professional prepares for the procedure by washing their hands and putting on sterile gloves.

2. Examination: The healthcare professional gently inserts their hand into the uterus to assess the attachment of the placenta and determine the best approach for its removal.

3. Separation: Using their hand and fingers, the healthcare professional carefully separates the placenta from the uterine wall by applying gentle pressure and using a sweeping motion.

4. Extraction: Once the placenta is completely detached, the healthcare professional gently removes it from the uterus.

5. Inspection: The removed placenta is thoroughly examined to ensure that all parts have been removed and to check for any abnormalities or signs of retained placental tissue.

It's important to note that manual extraction of the placenta is not a common procedure and is only performed when necessary. The healthcare professional's expertise and skill are crucial to ensure the safe and complete removal of the placenta. In most cases, the placenta is delivered naturally without the need for manual intervention.