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5. Procedures for Manual Removal of the Placenta and Membranes · Quickly draw a sterile glove over your existing glove on your dominant hand. · Fold a sterile Place the fingers of one hand into the vagina in the shape of cone by drawing. When the placenta has been located, let go of the cord and move that hand. Proceed slowly until the placenta is completely detached. Then hold the placenta in your hand and BRING pull your hand out, gently twisting your wrist back and Detach the placenta from the implantation site by keeping the fingers tightly together and using the edge of the hand to gradually make a space between the Manual removal of a retained placenta, November 2020. Page 2 of 3. Maternity information. Simple steps which midwives can offer to help separation of the This film explains what a retained placenta is, why it is important to be removed and the essential steps that need to be taken. It shows how to perform the