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Gynaecology & Obstetrics Labor Management Protocols 6f701535

Which of the following is a sign of placental separation in stage III of labor:

A
Gushing of blood
B
Discoid uterus
C
Filling of placenta in vagina
D
Increase in blood pressure
High-Yield Explanation
Ans. (a) Gushing of bloodRef. D.C Dutta 7h Ed. H31-312Clinical Course of Third Stage Of Labour* Third stage includes separation, descent and expulsion of the placenta with its membrane.Signs before and after placental separation* BEFORE SEPARATION: uterus becomes discoid in shape, firm in feel and non-ballottable.# Fundal height reaches slightly below the umbilicus* AFTER SEPARATION# Uterus becomes globular firm and ballotable# The fundal height is slightly raised# Sudden gush of vaginal bleeding upon separation.# Permanent lengthening of the cord.

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