What is the most common complication of retained placental fragments?
Complications can include major hemorrhage, endometritis, or retained portions of placental tissue, the latter of which can lead to delayed hemorrhage or infection.
What is the result of a retained placenta?
When the placenta attaches to the muscular walls of the uterus instead of the lining of the uterine walls, delivery becomes harder and often results in severe bleeding. Blood transfusions and even a hysterectomy may be required. This complication is called Placenta Accreta.
Which is the most common early major complication of retained placental fragment?
Symptoms of a Retained Placenta The most obvious sign of a retained placenta is that you don’t deliver it. The most common symptom of a retained placenta after birth is sudden blood loss and life-threatening bleeding.
What causes retained placental fragments?
What causes retained placenta? A placenta can be retained if your contractions aren’t strong enough to expel it, or if the cervix closes and traps the placenta inside your uterus.
What are retained placental fragments?
Postpartum retained placental fragments (RPF) are most often clinically manifested as delayed postpartum hemorrhage, or prolonged postpartum spotting. This is a rare complication of labor, yet can potentially cause severe morbidity and discomfort.
What are the three ways a retained placenta occurs?
There are three types of retained placenta:
- Placenta Adherens. Placenta adherens is the most common type of retained placenta.
- Trapped Placenta. A trapped placenta occurs when the placenta detaches from the uterus but doesn’t leave the body.
- Placenta Accreta.
How do you get a retained placenta?
The first option is called active management. This means you’ll have an injection of a drug called oxytocin into your thigh as you give birth. This makes your womb contract, so the placenta comes away from the wall of your womb. You’ll probably deliver the placenta within 30 minutes.
Who is at risk for retained placenta?
“Women who are high risk for a retained placenta include those who have had previous dilation and curettage (D & C), a premature delivery before 34 weeks, a stillborn, uterine abnormalities, or a long first or second stage of labor.
How is retained placenta diagnosed?
If your doctor suspects you have a retained placenta, they’ll perform an ultrasound to look at the womb. If any part of the placenta is missing, you’ll need treatment right away to avoid complications.
How to tell if you have retained placenta fragments?
Other than pain, the signs of retained placenta fragments are similar to retained placenta (source): 1 Fever. 2 Unusual Vaginal Discharge. 3 Passing Large Clots (placenta) through the Vagina. 4 Heavy Vaginal Bleeding. 5 Extreme Weakness – inability to walk. 6 (more items)
What is the medical term for retained placenta?
Probable retained placental tissue (e.g., in cases of retained succenturiate lobe of placenta) Placenta membranacea (rare condition in which the placenta is abnormally thin and spread out over a large area of the uterine wall; associated with bleeding and poor fetal outcome)
Can a uterine atony cause retained placenta?
Thus, retained placenta can occur in the setting of significant uterine atony, abnormally adherent placenta, as with placenta accreta spectrum (PAS), or closure of the cervix prior to placental expulsion.
Is it possible to retain the placenta after birth?
Unfortunately, if you have retained placenta once, the risk of placenta retention increases in subsequent pregnancies. However, once you are aware of the higher tendencies, your doctor/midwife can be extremely vigilant after birth to confirm that the entire placenta is in fact delivered. Final Thoughts on Placenta Retention
