{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:10:13Z","timestamp":1756372213527,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 34-year-old gravida 2, para 1 woman delivered a viable male infant and developed retained placenta due to entrapment. A nitroglycerin tablet was used to relax the lower uterine segment and cervix, which allowed the placenta to pass through the cervix for delivery. The nitroglycerin tablet was placed in the cervix and held in place by the delivering physician as it dissolved. Soon after administration, the intact placenta delivered. The patient did not experience the typical side effects of headache, asymptomatic decrease in blood pressure, hypotension, palpitations or dizziness that can be associated with administration of nitroglycerin. We suspect that this novel localised route of nitroglycerin administration may be an effective management strategy to treat trapped placenta while minimising side effects. However, the outcomes of this treatment would require further study.<\/jats:p>","DOI":"10.1136\/bcr-2013-010505","type":"journal-article","created":{"date-parts":[[2013,9,6]],"date-time":"2013-09-06T06:24:45Z","timestamp":1378448685000},"page":"bcr2013010505","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["A novel treatment for management of a trapped placenta using intracervical nitroglycerin tablets"],"prefix":"10.1136","volume":"2013","author":[{"given":"Blake Conley","family":"Rodgers","sequence":"first","affiliation":[{"name":"Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina, USA"},{"name":"Belleville Family Medicine Residency, St Louis University, Belleville, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Pasternak","sequence":"additional","affiliation":[{"name":"Saint Louis University, Belleville, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Gray","sequence":"additional","affiliation":[{"name":"Saint Louis University, Belleville, Illinois, USA"},{"name":"Department of Family Medicine, UNMC Family Medicine Resideny Program, Bellevue, Nebraska, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,9,6]]},"reference":[{"key":"2025082801342248000_2013.sep06_1.bcr2013010505.1","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1080\/00016340701855654","article-title":"Sublingual nitroglycerin seems to be effective in the management of retained placenta","volume":"2013","author":"Ekerhovd","year":"2008","journal-title":"Acta Obstet Gynecol"},{"key":"2025082801342248000_2013.sep06_1.bcr2013010505.2","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.ijgo.2005.08.020","article-title":"Sublingual nitroglycerin for management of retained placenta","volume":"2013","author":"Bullarbo","year":"2005","journal-title":"Int J Gynecol Obstet"},{"key":"2025082801342248000_2013.sep06_1.bcr2013010505.3","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1111\/j.1399-6576.1995.tb04183.x","article-title":"The use of intravenous nitroglycerin for emergency cervico-uterine relaxation","volume":"2013","author":"Wessen","year":"1995","journal-title":"Acta Anesthesiol Scand"},{"key":"2025082801342248000_2013.sep06_1.bcr2013010505.4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s004040050189","article-title":"The use of intravenous nitroglycerin for cervico-uterine relaxation: a review of the literature","volume":"2013","author":"Dufour","year":"1997","journal-title":"Arch Gynecol Obstet"},{"key":"2025082801342248000_2013.sep06_1.bcr2013010505.5","first-page":"863","article-title":"Prolonged third stage of labor: morbidity and risk factors","volume":"2013","author":"Combs","year":"1991","journal-title":"Obstet Gynecol"},{"key":"2025082801342248000_2013.sep06_1.bcr2013010505.6","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1034\/j.1600-0412.1999.780108.x","article-title":"Manual removal of the placenta, incidence and clinical significance","volume":"2013","author":"Tandberg","year":"1999","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2025082801342248000_2013.sep06_1.bcr2013010505.7","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1016\/j.bpobgyn.2008.07.005","article-title":"The retained placenta","volume":"2013","author":"Weeks","year":"2008","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"2025082801342248000_2013.sep06_1.bcr2013010505.8","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1067\/mob.2001.117363","article-title":"A randomized controlled trial comparing oxytocin administration before and after placental delivery in the prevention of postpartum hemorrhage","volume":"2013","author":"Jackson","year":"2001","journal-title":"Am J Obstet Gynecol"},{"key":"2025082801342248000_2013.sep06_1.bcr2013010505.9","doi-asserted-by":"crossref","unstructured":"Abdel-Aleem H Abdel-Aleem MA Shaaban OM . Tocolysis for management of retained placenta. 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