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manual removal of placenta (MROP). 5. Introducing one hand into the vagina along cord. 6. Supporting the fundus while detaching the placentaPlace 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. Placenta is separated and retained - To express the placenta out by controlled cord traction. - - Unseparated retained plaenta - Manual removal of placenta - 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 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