North American Registry of Midwives (NARM) Practice Exam

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What is the purpose of the Brandt-Andrews maneuver?

To induce labor
To evaluate fetal distress
To facilitate placental expulsion after separation
To monitor maternal blood pressure

The correct answer is: To facilitate placental expulsion after separation

The Brandt-Andrews maneuver is specifically designed to facilitate the expulsion of the placenta after it has separated from the uterine wall. This technique involves applying gentle traction on the umbilical cord while stabilizing the uterus, effectively helping to minimize the risk of retained placenta and its associated complications. The careful application of this maneuver can promote a smoother and more efficient process for the mother during the third stage of labor, leading to reduced blood loss and an overall safer postpartum experience. Understanding its role in managing the delivery of the placenta is crucial for midwives in practice, as it directly impacts maternal health outcomes.