Explaining Biology on Instagram: "Manual Removal of the Placenta After Birth (MROP) Manual Removal of the Placenta is a medical procedure done when the placenta does not come out naturally within 30 minutes after delivery of the baby. This condition is called retained placenta and can cause heavy bleeding (postpartum hemorrhage) if not treated quickly. What happens during the procedure? The mother is given pain relief or anesthesia A trained doctor or midwife inserts a gloved hand into the uteru