The midwife or nurse caring for the woman will inspect all placentas visually after non-surgical expulsion for completeness. This may not occur in the case of obvious incomplete expulsion of the placenta, as the woman will be transferred to the operating room for completion of evacuation on the basis of clinical need. Due to the placental fragmentation that may occur during manual removal of the placenta in the operating room it will not be possible for those women who require surgical removal of their placenta to have a visual placental inspection, however the surgeon will assess the completeness of the removal digitally in the operating room.