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This is a manual removal of placenta, only performed when the placenta isn't coming out on its own. This is NOT standard. Most placenata will be expelled a few minutes after the baby is born if an injection of synthetic oxytocin has been given. If not, up to an hour is normal. Some can take longer, assessing blood loss and maternal well being is essential. The caption should read 'manual removal of placenta', and then go on to explain what it is. Please check the background of these large accoun
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