Care after the delivery of the placenta
When the placenta and the membranes are out give ergometrine 0.5mg or syntometrine 1ml (i.m).start to prevent haemorrhage. Swab the vulva examine the perineum and vaginal wall for any laceration. Suture if necessary. Make the patient comfortable by changing linens and applying a sterile pad to the perineum check vital signs and record. Check uterus to be sure it is well contracted.
Later wheel the trolley to the sluice room and examine the placenta and membranes for complesion. Measure all blood loss. The women must be kept in the labor room for at least one hour for close observation –fourth stage. An hour after deli very, she is later transferred to the lying-in word with her baby after the uterus is explored of blood clots and uterus is checked and is contracted. An hour after delivery the blood clots are expelled and uterus checked for contraction. Check vital signs and transfer to the lying –in ward.