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Hi Jo, I am also a labour ward co-ordinator and supervisor of midwives. Apart from what is written in midwifery amd ALSO manuals, there is no formal hands on training of midwives for this emergency in Scotland as far as I am aware. Midwives are invited to observe on the MOET course which may include more. I would expect that a midwife would transfer a woman in to hospital wherever possible. I personally think that manual removal of placenta and examination of the uterus is not something midwives would ever be able to gain competency in and should actually be revisited. I also think that there is greater potential for the midwife to make the situation worse by attempting a manual removal. I wonder if there have been any cases of retained placenta in the community where the review panel has deemed that this emergency procedure should have been undertaken? It would be interesting to hear from areas which have a high homebirth rate. We sadly do not. Regards, Laura -----Original Message----- From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Jo Holland Sent: 04 April 2013 13:32 To: [log in to unmask] Subject: Manual removal of placenta training Hi Please can any one help with the following: The NMC Standards for Pre-Registration Midwifery Education, on page 27 state the following: "Undertake appropriate emergency procedures to meet the health needs of women and babies. Emergency procedures will include: . manual removal of the placenta . manual examination of the uterus Please can you advise if this is taught as standard pre-registration training for midwives in other areas/countries. I understand that this is taken from an EU directive and am partucularly interested to see if within Europe it is taught as an emergency care skill alongside the breech and PPH training as well as in other parts of the world. I would be greatful of any information asap as am writing an essay for my Supervisor of Midwives training due in in 2 weeks! Look forward to hearing from you. Thanks Jo