The Placenta is said to be retained when it is not expelled out within 30 minutes child birth. The retained placenta may complicate like hemorrhage, shock, puerperal sepsis etc which may be potentially life-threatening. The retained placenta may be delivered by invasive manual separation that might leads to complications. Simple and relatively non-invasive procedure like intra Umbilical vein injection (IUVI) of oxytocin might eliminates the need for manual separation of the placenta might have

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... significant clinical value. This cross sectional analytic study was conducted at Dhaka medical college and hospital (DMCH) from January 2009 to June 2009. The total 50 patients were selected by purposefully random sampling technique included in this study. Eligible women were randomly assigned to receive one of two management strategies. In group A, 25 cases were given IUVI of 20 ml normal saline with 10 units of oxytocin and in group B, 25 cases were given IUVI of 20 ml normal saline only. Among the group A patients, 68% participants developed placental expulsion after IUVI of oxytocin whereas 60% developed placental expulsion after giving IUVI of normal saline only (Group B). Manual separations of placenta were done in 32% of participants in Group A and 40% of participants in group B. 28% of participants developed infection/sepsis in group A and 32% participants developed infection/sepsis in group B. 20% of the participants stayed less than 3 days in hospital in group A whereas 24% of participants in group B stayed in hospital less than 3 days. There is a non-significant augmentation of placental expulsion by IUVI of oxytocin than that of IUVI of normal saline only.