Avoiding manual removal of placenta: evaluation of intra‐umbilical injection of uterotonics using the Pipingas technique for management of adherent placenta

Abstract

Misoprostol (800 mcg) dissolved in 30 ml N saline and administered by intraumbilical injection using the Pipingas technique significantly reduces the need for manual removal for retained adherent placenta, whereas Syntocinon has similar effectiveness to injection of N saline alone.