![]() ![]() (2020.) Placenta: How it works, what’s normal. (2019.) Retained placenta after vaginal delivery: risk factors and management. (2021.) Risk factors for non-adherent retained placenta after vaginal delivery: a systematic review. (2021.) Pregnancy - obstetric emergencies. (15)00789-9/fulltext īetter Health Channel (Australia). (2015.) Risk factors for retained placenta. Learn more about our editorial and medical review policies.Īmerican Journal of Obstetrics & Gynecology. We believe you should always know the source of the information you're seeing. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. If you have questions or concerns about your risk of retained placenta, or how it might affect your labor and delivery (and your postpartum recovery), talk with your healthcare provider.īab圜enter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. This is uncommon, however, and the bottom line remains: Though retained placenta comes with serious potential health risks, it can be managed by your healthcare team – and won't harm your baby. Since trying it can cause a massive hemorrhage, hysterectomy may be necessary. If you have placenta accreta, there's a small risk that it's not possible to separate your placenta and uterus. Suction curettage, which involves using a small vacuum to remove tissue from your uterus, is the most common procedure. If manual extraction doesn't succeed – meaning part or all of the placenta remains in your uterus – the next step is surgery. There is a risk of hemorrhage during manual extraction, but your medical team will be prepared. You'll be given medication to manage pain and an antibiotic to prevent infection. Then, they'll pull the separated tissue out through your cervix. During this procedure, a provider will try to detach the placenta from your uterine wall with their fingers. Manual extraction is typically used first. The timing of the procedure depends on your clinician's judgment. When it fails, your provider will try to remove the retained placenta using their hands or via surgery. Sometimes, active management doesn't work. Breastfeeding, peeing, or changing your position can help its delivery, as well. They may also gently tug on your umbilical cord to loosen the placenta or administer oxytocin. When the placenta isn't delivered within a specific window of time, they'll attempt to move the process along by asking you to push or massaging your abdomen. What are the treatments for retained placenta?įirst, your provider will try active management. The good news: Retained placenta will have no effect on your baby. Endometritis is treated with antibiotics. The condition is different from endometriosis, a serious disease in which uterine tissue grows outside of your uterus. Retained placenta can also lead to postpartum endometritis, which is inflammation or infection of your uterine lining after you give birth. Delayed postpartum hemorrhage, mentioned above, is another risk. If you're at risk, your medical team will prepare the delivery room to manage any serious issues that arise. The longer it takes you to deliver it, the higher your chances of this complication. Retained placenta is a major cause of postpartum hemorrhage. Make sure to report them to your provider right away.Īre there serious risks of retained placenta? These can include fever, foul-smelling discharge, heavy bleeding, and blood clots or large pieces of tissue coming out of your vagina. ![]() You may notice symptoms up to two weeks after you have your baby. The primary symptom is when all or part of the placenta isn't delivered following childbirth, or if you begin bleeding heavily without delivering the placenta. From time to time, women experience bleeding in their third trimester. You very likely won't have any symptoms of retained placenta prior to delivery. What are the symptoms of retained placenta? Once you are admitted to a hospital or birthing center, they can run tests and gather the right pain medication and needed equipment, just in case it happens. However, if you are high-risk, your delivery team can prepare for the possibility. Having a baby who is small for their gestational ageĬurrently, there is no known way for you to lower the odds specifically of retained placenta.Prolonged use of oxytocin during delivery.Velamentous cord insertion, or when the placenta and umbilical cord are abnormally attached.Uterine abnormality, meaning a malformation of your uterus.Prior uterine surgery, including C-section and dilation & curettage.Giving birth more than five times previously.
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