Retained placenta: Difference between revisions
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{{Infobox medical condition | |||
| name = Retained placenta | |||
| synonyms = [[Placental retention]] | |||
| field = [[Obstetrics]] | |||
| symptoms = [[Postpartum hemorrhage]], [[abdominal pain]], [[fever]] | |||
| complications = [[Infection]], [[uterine atony]], [[hemorrhagic shock]] | |||
| onset = Immediately after [[childbirth]] | |||
| duration = Varies, depending on treatment | |||
| causes = [[Uterine atony]], [[placenta accreta]], [[trapped placenta]] | |||
| risks = [[Prolonged labor]], [[preterm birth]], [[multiple pregnancies]] | |||
| diagnosis = [[Ultrasound]], [[manual examination]] | |||
| differential = [[Uterine inversion]], [[retained products of conception]] | |||
| prevention = Active management of the third stage of labor | |||
| treatment = [[Manual removal]], [[oxytocin]], [[curettage]] | |||
| medication = [[Oxytocin]], [[misoprostol]] | |||
| frequency = Occurs in about 0.5-3% of [[births]] | |||
}} | |||
'''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. | '''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== | ==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 | 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== | ==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]]. | 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== | ||
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]]. | 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== | ||
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. | 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== | ||
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. | 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== | ==See also== | ||
* [[Postpartum complications]] | * [[Postpartum complications]] | ||
* [[Placental diseases]] | * [[Placental diseases]] | ||
* [[Obstetric hemorrhage]] | * [[Obstetric hemorrhage]] | ||
[[Category:Obstetrics]] | [[Category:Obstetrics]] | ||
[[Category:Childbirth]] | [[Category:Childbirth]] | ||
Latest revision as of 02:44, 4 April 2025
| Retained placenta | |
|---|---|
| Synonyms | Placental retention |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Postpartum hemorrhage, abdominal pain, fever |
| Complications | Infection, uterine atony, hemorrhagic shock |
| Onset | Immediately after childbirth |
| Duration | Varies, depending on treatment |
| Types | N/A |
| Causes | Uterine atony, placenta accreta, trapped placenta |
| Risks | Prolonged labor, preterm birth, multiple pregnancies |
| Diagnosis | Ultrasound, manual examination |
| Differential diagnosis | Uterine inversion, retained products of conception |
| Prevention | Active management of the third stage of labor |
| Treatment | Manual removal, oxytocin, curettage |
| Medication | Oxytocin, misoprostol |
| Prognosis | N/A |
| Frequency | Occurs in about 0.5-3% of births |
| Deaths | N/A |
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[edit]
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[edit]
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[edit]
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[edit]
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[edit]
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[edit]
This obstetrics related article is a stub.
