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B. When the placenta has become detached, it is grasped and removed. Download ppt "Manual removal of placenta. A. One hand grasps the fundus" Anaesthesia/analgesia for manual removal of retained placenta. Cochrane Database of Syst ematic Reviews 2018, Issue 4. Art. No.: CD013013. DOI: 10.1002/14651858Place 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. - Detach the placenta from the implantation site by keeping the fingers tigthly together and using the edge of the hand to gradually make a space between the manual removal of placenta (MROP). 5. Introducing one hand into the vagina along cord. 6. Supporting the fundus while detaching the placenta 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