Retained Placenta Management

A retained placenta is commonly a cause of postpartum haemorrhage, both primary and secondary. Retained placenta is generally defined as a placenta that has not undergone placental expulsion within 30 minutes of the baby's birth where the third stage of labour has been managed actively.

Drugs, such as intravenous oxytocin, are often used in the management of placental retention. It is useful ensuring the bladder is empty. However, ergometrine should not be given as it causes tonic uterine contractions which may delay placental expulsion. Controlled cord traction has been recommended as a second alternative after more than 30 minutes have passed after stimulation of uterine contractions, provided the uterus is contracted.

The three main causes of a retained placenta are: When the womb stops contracting, or doesn't contract enough for the placenta to separate from the wall of the womb. This is called uterine atony. This is called a placenta accreta, and is more likely if the placenta embeds itself over a previous caesarean section scar.

Manual extraction may be required if cord traction also fails, or if heavy ongoing bleeding occurs. Very rarely a curettage is necessary to ensure that no remnants of the placenta remain (in rare conditions with very adherent placenta such as a placenta accreta).

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[sravanibonugubonugu]

Sir its very easy sir thank you iam very comfortable to listen your classes sir

[maryyasmin]

THANK YOU SIR FOR THIS AMAZING EXPLANATION

[TENZNN]

thank you sir its easy to understand and simple

[mzshanti]

I just gave birth on the 19th.. and I went to the bathroom and this blood clot just would not come out but it didn’t hurt it just felt slippery and stuck. Had to call the nurse and have her help me get it out, so disgusting. But when I gave birth I SAW my placenta.

[TrinketAttire]

I hope you reply .. I delivered baby at 27th week normally .. labour pain started suddenly.. 2.4*2.6 placenta is still left in my stomach ... Dr tried their best to remove it all but due to intramural fibroid of 6cm they were not able to get all of it out .. please respond

[CaramelDrizzleD]

amazing, thank you very much for this

[raksri]

Sir does this cause problems in lungs (fluid accumulation) and kidney failure?

[sumitmishra]

Sir will u provide some information about this

[mashudusekoba]

Can it kill you if its stuck after Arbotion

[meenanarayana]

Thank you sooo sooo mich I understood very well

[harishprajapat]

Is retaind placenta is negligence of doctors