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Retained placenta — MCCQE Part 1 MCQ

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EasyPregnancy ComplicationsRetained placentaMCCQE Part 1

A 42-year-old G4P3 at 39 weeks had an uncomplicated vaginal delivery. 20 min postpartum, placenta not yet delivered. No bleeding. Uterus contracted. Most appropriate next step?

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Correct answer: D — Controlled cord traction with uterine countertraction (Brandt-Andrews)

Active management of third stage: controlled cord traction at 20 min with contracted uterus. Manual removal if placenta not delivered by 30-60 min despite active management.

Reference: SOGC Third Stage