Second hole could have been caused by someone poking their finger in while 
trying to deliver it.. There is no need to rush the placenta out if the cord 
snaps. Provided there are no signs of haemorrhage i.e. bleeding, fundus rising, 
bp falling, pulse quickening.  The placenta will separate and the action of the 
uterus will move it down. The synto will delay this action as the uterus 
contracts and traps it. I never like to give synto before the birth of the 
placenta, if at all, usually only at the mother's request.  
I am surprised you didn't learn about cords snapping, or at least been 
entertained with stories of this happening.   Maureen
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of
[EMAIL PROTECTED]
Sent: Friday, 1 July 2005 9:51 AM
To: [email protected]
Subject: [ozmidwifery] umbilical cord




hello,
i was with a birthing woman yesterday and wanted to share this with the list 
and to get everyones feelings on the matter.after waiting for signs of 
seperation of the placenta after the birth and following syntocinon iv i 
commenced controlled cord traction. After a feeling a little resistance i then 
stopped and waited a further few mins. When i re commenced controlled cord 
traction the cord came off in my hand ( much to my horror) this they did not 
teach in uni. as new graduate in a large hospital i asked a senior midwife for 
help so she tried to manually removed the placenta. The Registrar was then 
called and she managed to remove  the placenta from the uterus.  im told this 
is quite common what baffles me is when i examined the placenta there were two 
holes in it not one. the senior midwife could not explain this to me at all and 
was baffled also.
regards  sharon
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