Differentiate a Schultze and Duncan Placenta

The placenta is in the uterus. One side is attached to the uterus and the other faces
the baby. These are sometimes referred to as “Dirty Duncan” and Shiny Schultz.
Schultz Placenta

● The separation of the placenta from the uterine wall during labor; begins at the placental center
and leads to an expulsion of the placenta after delivery of the baby. 
● Appearing shiny and glistening from the fetal membranes

Duncan Placenta

● The expulsion of the placenta with the presentation of the maternal rough side first, rather than
the usual fetal side of the placenta. 
● It looks raw, red, and irregular, with the ridges or cotyledons that separate blood collection
spaces showing,
 ● Where all instruments are
placed.
placed.
Mayo table

● Used to cut the umbilical

cord.

Mayo Scissor

Kelly clamp
Kelly clamp (curve)
● used to clamp the cord towards the
Baby.
 Kelly clamp (straight)
● used to clamp the cord towards the
placenta.

Metz scissor

● used to suture during

episiorraphy

Needle
holder

Tissue forceps
● used to hold the needle

● used to grasp tissue

Handle with 10 blades (inside knife)

 ● used to cut superficial tissue

Handle with 20 blades (skin knife)

● used to cut skin

MAJOR SET
Kocher (Ochsner)

● used to grasp heave tissue and can be

also used as a clamp.
● its jaw can be straight and curved.

Babcock forceps
 ● used to grasp delicate tissue such
as intestine, fallopian tube, ovary,
and appendix, also available in long
sizes.

Allis Forceps

● used to grasp tissue and is

available also in long size

Round Nose (Kelly curve)

● used to clamp larger tissues or

vessels.

Hemostat
 ● used to clamp blood vessels
or tag sutures.
● it may be straight or curve

Backhaus towel clips

● used to hold drapes, most

especially towels in place.

Thumb Forceps

● used by compression
between your thumb and
forefinger and are used
for grasping, holding, or
manipulating body tissue.

Army Navy Retractor (also called right-angle retractor/US Army retractor

 ● Used to retract shallow or
superficial incisions. From
small wounds to abdominal
operations.

Blade # 4

● Used for skin incisions in

both cardiac and thoracic
surgery and to cut the
bronchus in lung resection
surgery.

Mayo Scissors (curve)

● used to cut heavy

tissues such as fascia,
muscle, uterus,
breast).

Metzenbaum
 ● used to cut delicate tissues.

Minor Set
Straight Mayo Scissors
 ● used to cut suture and supplies.
● Also known as suture scissors

Mayo Scissors (curve)

● used to cut heavy tissues

such as fascia, muscle, uterus,
breast).

Metzenbaum
 ● used to cut delicate tissues

Kocher (Ochsner)

● used to grasp heave tissue and can be

also used as a clamp.
● its jaw can be straight and curved.

Allis Forceps

● is a surgical instrument with

sharp teeth, used to hold or grasp
heavy tissue. It is also used to grasp
fascia and soft tissues such as
breast or bowel tissue.

Adison Forceps
 ● used to clamp deep blood
vessels

Mosquito

● used to clamp small blood

vessels (may be straight or
curved).

Dilation (dilatation) and curettage (D&C)

Is a brief surgical procedure referring to the dilations (opening of the cervix and
the surgical removal of the contents of the uterus.
Purpose
● Remove tissue in the uterus during or after a miscarriage or abortion or remove
small pieces of placenta after childbirth. This helps prevent infection or heavy
bleeding.
● Diagnose or treat abnormal uterine bleeding. Diagnosing or treating growths
such as fibroids, polyps or endometriosis, hormonal imbalances, or uterine cancer.
A sample of uterine tissue is viewed under a microscope to check for abnormal
cells.
Hysterometer/Uterine Sound

● A graduated sounding
instrument for measuring the
depth of the uterine cavity

Tenaculum

● For cervical traction.

● Unique design grasps the
cervix in a single “snap close”
movement, minimizing pain.

Curretes sharp #2,3,4,5

● a surgical instrument shaped

like a scoop or spoon used to
remove tissue or growths from
a body cavity.

Ovum Forceps
 ● are commonly used to remove
placental fragments inside the
uterus.
● It is also used as a hemostat or a
clamping instrument.

Tissue Forceps

● used to grasp tissue

● can be either dressing forceps or
tissue forceps

Uterine Forceps

● specially designed forceps

to help grasp or hold the
uterine the parts of the body
when the uterus is being
operated.

Tissue Forceps
 ● used to grasp and handle
tissue

Needle holder

● Used to hold and guide

suture needles securely for
suturing.

Kelly clamp (curve)

● used to clamp the cord

towards the baby.

● used to clamp the cord

towards the placenta.

Perineal Care
Pattern for cleaning perineum before birth. Cleaning from the birth canal outward
moves bacteria away from, not into, the vagina. Numbers refer to steps of the
procedure