Retained placenta

Retained placenta is a condition that occurs when all or part of the placenta or membranes are left behind in the uterus during the third stage of childbirth. This can lead to severe postpartum hemorrhage and can be life-threatening.

Definition

A retained placenta is diagnosed when the placenta is not expelled from the woman's body within 30 to 60 minutes after birth. There are three types of retained placenta: placenta adhærens, trapped placenta, and placenta accreta.

Causes

The exact cause of retained placenta is unknown, but it is more likely to occur in premature births and in women who have had a previous retained placenta. Other risk factors include a history of cesarean section, uterine fibroids, and placenta previa.

Symptoms

Symptoms of a retained placenta include prolonged bleeding, cramping, and fever. If left untreated, it can lead to serious complications such as sepsis and hemorrhage.

Treatment

Treatment for a retained placenta involves removing the placenta from the uterus. This can be done manually or with medication. In some cases, a hysterectomy may be necessary.

Prevention

Prevention strategies for retained placenta include active management of the third stage of labor, which involves giving the mother medications to help expel the placenta and prevent heavy bleeding.

See also

• Postpartum complications
• Placental diseases
• Obstetric hemorrhage

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