A 35-year-old G5 P4 woman at 39 weeks gestation is undergoing a vaginal delivery. She has a history of a previous myomectomy and one prior low-transverse cesarean delivery. She was counseled about the risks, benefit, and alternatives of vaginal birth after cesarean, and elected a trial of labor. She proceeded through a normal labor. The delivery of the baby is uneventful.
The placenta does not deliver after 30 minutes, and a manual extraction of the placenta is undertaken. The placenta seems to be firmly adherent to the uterus. What will be your next best step in the management of this patient? NOTE: No other information about the patient is available. (Answer is posted in the comment section below!) *This case is from the Editorial team of Docplexus and is meant for educative purposes only.
