Credé handle
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The Credé handle (also known as the Credé handle or the Credéscher handle ) is an obstetric technique. It was first described in Leipzig in 1856 by Carl Siegmund Franz Credé , a German gynecologist, and named after him. Using this technique, an attempt is made in the postpartum period which ensures dissolved placenta from the uterus to express (uterus).
indication
After the birth of the child is the average work break of the uterus for 5-15 minutes. If the placenta has not been released or has not been born one hour after the birth, there is an irregularity. If the placenta has loosened and the woman is not born even after the woman is pressed, the Credé handle is the method of choice. The premature and incorrectly performed Credé handle often results in profuse bleeding and placental parts remaining in the uterus. The Credé handle is also used when bleeding occurs in the postpartum period. If the placenta has not yet fully loosened, a Credé handle is performed under anesthesia prior to manual placenta loosening .
execution
The uterus, which is usually on the right side, must be brought into the middle, the bladder must be empty and the uterus must be hard (contracted). The woman stands up. One is by gently rubbing the uterus Woe rubbed. Then grasp the fundus of the uterus so that the thumb is on the front wall and the other fingers on the back wall. Bring the uterus in the center. At the level of a contraction, the uterus is gently expressed in the direction of the guide line (= expression of the placenta). As soon as the placenta appears in the vulva , you support it with your hand so that the membranes do not tear off and can be completely born.
literature
- Christoph Zink: Pschyrembel dictionary of gynecology and obstetrics . DeGruyter, Berlin 1987, ISBN 3-11-010953-0 (see also Pschyrembel (Medical Dictionary) ).
- Gerhard Martius (Hrsg.): Midwife Textbook . 6th edition. Thieme, Stuttgart 1995, ISBN 3-13-307906-9 .
