What Is a Retained Placenta? Like the term suggests, a retained placenta occurs when the placenta remains in the womb and isn't delivered on ...HomeRetainedPlacentaRetainedPlacentaManywomendon’trealizethatthebirthofthebabydoesn’tcompletethelaborprocess.Actually,apregnantwoman’sfinalstageoflaboroccurswhenherplacentaisexpelledfromheruterus. Formanywomen,thisprocesshappensonitsownafterthebabyhascomethroughthebirthcanal,however,forsome,thisprocessdoesn’thappenautomatically,resultinginaphenomenoncalledretainedplacenta.WhatIsaRetainedPlacenta?Likethetermsuggests,aretainedplacentaoccurswhentheplacentaremainsinthewombandisn’tdeliveredonitsownnaturally.Whenthishappens,theprocesshastobemanipulatedsothattheplacentacanberemovedfromthewoman’swomb. Iftheplacentaremainsinsidethewoman’swomb,theafter-effectscanbelife-threatening,resultingininfectionandevendeath.Labortakesplaceinthreestages:Thefirststageoflaborbeginswithcontractionsthatindicatethattheuterusispreparingtodeliverababy.Onceawomanhasgivenbirth,thesecondstageoflaboriscomplete.Thefinalstageoflabortakesplacewhentheplacentaisexpelledfromthewoman’swomb.This stageusuallytakesplacewithin30minutesofthebaby’sbirth.However,ifthewomanhasnotexpelledtheplacentaafter30minutesofdelivery,thisisconsideredaretainedplacentabecausethewoman’sbodyhaskepttheplacentainsteadofexpellingit.Ifaretainedplacentaisnottreated,themotherissusceptibletobothinfectionandextremebloodloss,whichcouldbelife-threatening.Ifyourpregnancyhasmovedthroughthelaborandbirthstagesnormally,youcanchoosehowtohandlethefinalstageoflabor.This processisusuallyapartofawoman’sbirthplandiscussion.Therearegenerallytwoapproachesusedwhendealingwiththeplacenta,whetheranaturalapproachoramanagedapproach.Anaturalapproachallowsthewoman’sbodytonaturallyexpeltheplacentaonitsown.Medicalpersonnelassiststhemanagedapproachandusually,occurswhenashotisadministeredtothethighwhilethebabyisbeingborntocausethewomantoexpelherplacenta.Syntometrine,ergometrine,andoxytocinarethedrugsusedtocauseawoman’sbod

What is a retained placenta? After your baby is born, your womb will carry on contracting and the placenta is delivered. This is called the third ...SkiptomaincontentBreadcrumbHomePregnancyHubPregnancycomplicationsRetainedplacentaShareonShareviaFacebookShareviaTwitterShareviaWhatsAppShareviaEmailPrintWhatisaretainedplacenta?Afteryourbabyisborn,yourwombwillcarryoncontractingandtheplacentaisdelivered.Thisiscalledthethirdstageoflabour.Sometimestheplacentaorpartoftheplacentaormembranescanremaininthewomb,whichisknownasretainedplacenta.Ifthisisn'ttreated,itcancauselife-threateningbleeding(knownasprimarypostpartumhaemorrhage), whichisararecomplicationinpregnancy.Whatcausesaretainedplacenta?Aretainedplacentamaybecausedby:theuterusnotcontractingproperlyafterthebabyisborntheumbilicalcordsnapping(thisisn’tverycommonandwillnothurtyourbabyifmanagedquickly–yourmidwifewillsimplyclampthecordtopreventanybleeding)theplacentaattachingabnormallydeeplyintothewalloftheuterus–this israre.Howcommonisaretainedplacenta?It’snotverycommon.Aretainedplacentahappensinabout3%ofvaginaldeliveries.Itcanalsosometimeshappenafteracaesareansection.Certainthingsincreasetheriskofhavingaretainedplacenta.Theseinclude:pregnancyinwomenovertheageof30alongfirstandsecondstageoflabour aprematurebirthstillbirth.Onestudyhassaidthatyou’remorelikelytohavearetainedplacentaifthesamethinghappenedafteryourownbirthorafterthebaby’sfather’sbirth.Howistheplacentausuallydelivered?Ifyouhaveacaesareansection, theplacentawillalsobedeliveredafteryourbabyisborn.Ifyouhaveavaginalbirth,thereareusuallytwooptionsfordeliveringtheplacenta.Thefirstoptioniscalledactivemanagement.Thismeansyou’llhaveaninjectionofadrugcalledoxytocin intoyourthighasyougivebirth.Thismakesyourwombcontract,sotheplacentacomesawayfromthewallofyourwomb.You’llprobablydelivertheplacentawithin30minutes.Thesecondoptioniscalledphysiologicalmanagement.Thismeansthatyouwilldelivertheplacentawithoutanymedicationsorhormones,whichcantakeuptoanhour.Findoutmoreaboutdeliveringthe

A retained placenta is when part or all of the placenta is not delivered after the baby is born. It can lead to serious infection or blood loss.PRINTSHAREshareviaFacebookshareviaTwittershareviaEmailThereisatotalof5errorsonthisform,detailsarebelow.PleaseenteryournamePleaseenteryouremailYouremailisinvalid.PleasecheckandtryagainPleaseenterrecipient'semailRecipient'semailisinvalid.PleasecheckandtryagainAgreetoTermsrequiredThankyouforsharingourcontent.Amessagehasbeensenttoyourrecipient'semailaddresswithalinktothecontentwebpage.Yourname:isrequiredError:ThisisrequiredYouremail:isrequiredError:ThisisrequiredError:NotavalidvalueSendto:isrequiredError:ThisisrequiredError:NotavalidvalueError:ThisisrequiredIhavereadandagreetotheTermsofUseandPrivacyPolicyisrequired.Aretainedplacentaiswhentheplacentaisnotdeliveredwithin30minutesofthebaby’sbirth.Itisaseriousproblemsinceitcanleadtosevereinfectionorlife-threateningbloodloss.Retainedplacentaisnotacommoncondition,butbecauseit’sserious,itwillneedtobemanagedbyamedicalteam.Whatcausesretainedplacenta?Aplacentacanberetainedifyourcontractionsaren’tstrongenoughtoexpelit,orifthecervixclosesandtrapstheplacentainsideyouruterus.Youaremoreatriskofaretainedplacentaifyouareovertheageof30,haveaprematurebabyorifyourfirstandsecondstagesoflabourwereverylong.Itcanalsohappenifyouhaveafibroidoranotherproblemwithyouruterus.Manywomenwillhaveaninjectionofsyntocinon(asyntheticversionofthehormoneoxytocin),whichnotonlyhelpsdelivertheplacentabutalsohelpsreducetheriskofpostpartumbleeding.Havingthisinjectioniscalled‘activemanagement’.Ifthemotherchoosesnottohavetheinjection,itiscalled‘expectantmanagement’.Whatarethesymptomsofretainedplacenta?Themainsymptomofretainedplacentaisthattheplacentadoesn’tcompletelycomeoutoftheuterusafterthebabyisborn.Anothersymptomcanbebleedingbeforetheplacentacomesout.Ifapieceofplacentaisleftbehind,youmaydevelopsymptomsdaysorweeksafterthebirth.Thesemayinclude:feverabadsmellingdischargefromthevaginaheavybleedinglargepiecesoftissuecomingout

ParenthoodPostpartumCareIWishI’dKnownAbouttheRisksofaRetainedPlacentaAfterChildbirthMedicallyreviewedbyKatieHurley—WrittenbyA.RochaunMeadows-FernandezonDecember5,2018ShareonPinterestHealthandwellnesstoucheachofusdifferently.Thisisoneperson’sstory.Aroundthistimethreeyearsago,Iwaspreparingforthebirthofmyfirstchild.I’dspenthoursdiligentlyresearchingbirthandthewiderangeofbirth-relatedquestions.So,whenIwentintolabor,IthoughtI’ddoneallIcouldtoprepareforanyevent.Thebirthhadseveralobstacles.Ilostalotofblood,receivedanepisiotomy,andremainedmildlyconsciousasmysonwasremovedwithforceps.WhatIrememberthemost—otherthanmymother’shorrifiedfacebecausemybloodwasslowtocoagulate—wasthepain.Whenmyplacentacameoutinpieces,itseemedlessimportantatthetime.Butitsignificantlyshapedmyintroductiontomotherhood.LittledidIknowthen,itwouldtakeoveramonthandahalftobediagnosedwithretainedplacenta.I’dexperienceweeksofpainasaconsequenceofmyplacentanotbeingexpelledatonce.What’saretainedplacenta?“Iftheplacentaorapartoftheplacentadoesnotspontaneouslydeliverwithin30minutesafterthebabyhasdelivered,aretainedplacentaisdiagnosed.Normallytheplacentawillseparateanddeliverfromtheuterusonitsownoncethebabyhasbeenborn,”explainsSherryRoss,MD,OB-GYN.AccordingtoRoss,aretainedplacentaisrarebutdangerous,andaffectsjust2percentofalldeliveries.The3typesofretainedplacenta1.Placentaadherentshappenswhentheplacentadoesn’tseparatespontaneouslyfromtheuteruswithin30minutesofthebabybeingborn.Thisisthemostcommontypeofretainedplacenta.2.Atrappedplacentahappenswhentheplacentaseparatesfromtheuterusbutdoesn’tspontaneouslyleavetheuterus.3.Placentaaccretahappenswhentheplacentagrowsintothedeeperlayeroftheuterusandisunabletospontaneouslydetachfromtheuterus.Thisisthemostdangeroustypeofretainedplacentaandcanleadtoneedingahysterectomyandbloodtransfusions.RossalsonotesthatretainedplacentaduringaC-sectionislikelyplacentaaccreta,andcanbedangerousandthemostdifficulttotreat.Adjustingtonewmotherhood,despiteobstaclesMyresearchhadpreparedmefortheintellec

Retained placenta after vaginal delivery is diagnosed when a placenta does not spontaneously deliver within a designated amount of time, ...NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutJournalListIntJWomensHealthv.11;2019PMC6789409IntJWomensHealth.2019;11:527–534.Publishedonline2019Oct7.doi: 10.2147/IJWH.S218933PMCID:PMC6789409PMID:31632157Retainedplacentaaftervaginaldelivery:riskfactorsandmanagementNicolaCPerlman1andDanielaACarusi1NicolaCPerlman1DepartmentofObstetricsandGynecology,BrighamandWomen’sHospital,HarvardMedicalSchool,Boston,MA,USAFindarticlesbyNicolaCPerlmanDanielaACarusi1DepartmentofObstetricsandGynecology,BrighamandWomen’sHospital,HarvardMedicalSchool,Boston,MA,USAFindarticlesbyDanielaACarusiAuthorinformationArticlenotesCopyrightandLicenseinformationDisclaimer1DepartmentofObstetricsandGynecology,BrighamandWomen’sHospital,HarvardMedicalSchool,Boston,MA,USACorrespondence:DanielaACarusiDepartmentofObstetricsandGynecology,BrighamandWomen’sHospital,HarvardMedicalSchool,75FrancisSt,Boston,MA,02115,USA,Phone:Tel+16177325452,Fax:Fax+16172326346,[email protected];Accepted2019Sep2.Copyright©2019PerlmanandCarusi.ThisworkispublishedandlicensedbyDoveMedicalPressLimited.Thefulltermsofthislicenseareavailableathttps://www.dovepress.com/terms.phpandincorporatetheCreativeCommonsAttribution–NonCommercial(unported,v3.0)License(http://creativecommons.org/licenses/by-nc/3.0/).ByaccessingtheworkyouherebyaccepttheTerms.Non-commercialusesoftheworkarepermittedwithoutanyfurtherpermissionfromDoveMedicalPressLimited,providedtheworkisproperlyattributed.Forpermissionforcommercialuseofthiswork,pleaseseeparagraphs4.2and5ofourTerms(https://www.dovepress.com/terms.php).ThisarticlehasbeencitedbyotherarticlesinPMC.Retainedplacentaaftervaginaldeliveryisdiagnosedwhenaplacentadoesnotspontaneouslydeliverwithinadesignatedamountoftime,variablydefinedasaperiodof18–60mins.Itmayalsobediagnosedifapatientexperiencessignific

NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutJournalListWiley-BlackwellOnlineOpenPMC4849196ActaObstetriciaetGynecologicaScandinavicaActaObstetGynecolScand.2016Apr14;95(5):501–504.Publishedonline2016Feb4.doi: 10.1111/aogs.12848PMCID:PMC4849196PMID:26765548Retainedplacenta:willmedicaltreatmenteverbepossible?AchierD.Akol1andAndrewD.Weeks1AchierD.Akol1DepartmentofWomen'sandChildren'sHealth,UniversityofLiverpool,Liverpool,UKFindarticlesbyAchierD.AkolAndrewD.Weeks1DepartmentofWomen'sandChildren'sHealth,UniversityofLiverpool,Liverpool,UKFindarticlesbyAndrewD.WeeksAuthorinformationArticlenotesCopyrightandLicenseinformationDisclaimer1DepartmentofWomen'sandChildren'sHealth,UniversityofLiverpool,Liverpool,UKCorrespondingauthor.*CorrespondenceAndrewD.Weeks,SanyuResearchUnit,DepartmentofWomen'sandChildren'sHealth,UniversityofLiverpool,c/o1stFloor,LiverpoolWomen'sHospital,CrownStreet,LiverpoolL87SS,UK.E‐mail:ku.ca.vil@skeewa,Received2015Nov6;Accepted2015Dec23.Copyright©2016TheAuthors.ActaObstetriciaetGynecologicaScandinavicapublishedbyJohnWiley&SonsLtdonbehalfofNordicFederationofSocietiesofObstetricsandGynecology(NFOG).ThisisanopenaccessarticleunderthetermsoftheCreativeCommonsAttribution‐NonCommercial‐NoDerivsLicense,whichpermitsuseanddistributioninanymedium,providedtheoriginalworkisproperlycited,theuseisnon‐commercialandnomodificationsoradaptationsaremade.Thestandardtreatmentforretainedplacentaismanualremovalwhateveritssubtype(adherens,trappedorpartialaccreta).Althoughmedicaltreatmentshouldreducetheriskofanestheticandsurgicalcomplications,theyhavenotbeenfoundtobeeffective.Thismaybeduetothecontrastinguterotonicneedsofthedifferentunderlyingpathologies.Inplacentaadherens,oxytocicshavebeenusedtocontracttheretro‐placentalmyometrium.However,ifinjectedlocallythroughtheumbilicalvein,theybypassthemyometriumandperfusedirectlyintothevenoussystem.Intravenousinjectionisanalternativebutexacerbatesatrappedplacenta.Conversely,fortrappedplacentas

What is retained placenta? Retained placenta is a rare complication affecting only about 2 to 3 percent of all deliveries that occurs when all or a ...profileiconLogIn/JoinHi, LogOutSearchPregnancy>Labor&DeliveryRetainedPlacentainPregnancyby JennSinrichReviewedonAugust5,2019GettyImagesLearnmoreaboutthisrarebutmanageableconditionthatcanoccurduringthefinalstageoflabor.BacktoTopInThisArticleWhatisretainedplacenta?Whoisatriskforretainedplacenta?Whatarethedifferenttypesofretainedplacenta?Whatarethesymptomsandsignsofretainedplacenta?Whatarethecomplicationsofretainedplacenta?Howisretainedplacentatreated?Canretainedplacentabeprevented?Notwolaborexperiencesareidentical,andthere’snoclearwaytopredicthowyoursisgoingtogodownevenupuntildeliveryday.WhilemoviesandTVshowsoftenportraylaboranddeliveryasaone-two-stepprocessofpushing,screamingandthenasweetendingwithamomholdinghernewbornbundleofjoy,therealthingistypicallyentirelydifferent.Youmaybeworriedthatsomethingwillgowrongduringchildbirth,andmaybeyou'veevenheardofararepregnancycomplicationcalledretainedplacenta.Thegoodnewsisthatit'sunlikelytohappentoyou,it'streatable—anditcan'thurtyourbaby. Whatisretainedplacenta?Retainedplacentaisararecomplicationaffectingonlyabout2to3percentofalldeliveriesthatoccurswhenalloraportionoftheplacentaisleftinsidetheuterusafterbaby'sbirth.Duringpregnancy, theplacentaisattachedtotheuterineliningtoallowforthetransferofnutrients,oxygen,carbondioxideandwaterfromthemother’sbloodtothebaby,withcarbondioxidefromthebabycyclingbackthroughtheumbilicalcordandplacentatothemotherforelimination.Theplacentaismadeupofsections,eachconnectedtotheumbilicalcordbyitsownsetofvesselsandadouble-layermembranethatformsasee-throughsacaroundthefetus.Laborconsistsofthreephases:earlylabor,whenthecervixisdilatedto4to6cm;activelabor,whichcontinuesuntilthecervixis7to8cm;andtransitionallabor,whenthecervixisfullydilatedat10cmandit’sjustabouttimetopushbabyout.Afteryouhaveyourbaby,thefinalstageofchildbirthis thedeliveryoftheplacenta duringut

Retained placenta can be defined as lack of expulsion of the placenta within 30 minutes of delivery of the infant [1,2]. This is a reasonable ...

Labor and Delivery: Retained Placenta ... What Is a Retained Placenta? Labor occurs in three stages: ... Your body typically expels the placenta ...ParenthoodPregnancyLaborandDelivery:RetainedPlacentaMedicallyreviewedbyJanineKelbach,RNC-OB—WrittenbyRachelNall,MSN,CRNAonFebruary2,2016TypesSignsandSymptomsRiskFactorsDiagnosisTreatmentsComplicationsOutlookPreventionWhatIsaRetainedPlacenta?Laboroccursinthreestages:Thefirststageiswhenyoubegintoexperiencethecontractionsthatcausechangesinyourcervixtopreparefordelivery.Thesecondstageiswhenyourbabyisdelivered.Thethirdstageiswhenyoudelivertheplacenta,theorganresponsiblefornourishingyourbabyduringpregnancy.Yourbodytypicallyexpelstheplacentawithin30minutesofdelivery.However,iftheplacentaorpartsoftheplacentaremaininyourwombformorethan30minutesafterchildbirth,it’sconsideredaretainedplacenta.Whenit’sleftuntreated,aretainedplacentacancauselife-threateningcomplicationsforthemother,includinginfectionandexcessivebloodloss.WhatAretheTypesofRetainedPlacenta?Therearethreetypesofretainedplacenta:PlacentaAdherensPlacentaadherensisthemostcommontypeofretainedplacenta.Itoccurswhentheuterus,orwomb,failstocontractenoughtoexpeltheplacenta.Instead,theplacentaremainslooselyattachedtotheuterinewall.TrappedPlacentaAtrappedplacentaoccurswhentheplacentadetachesfromtheuterusbutdoesn’tleavethebody.Thisoftenoccursbecausethecervixstartstoclosebeforetheplacentaisremoved,causingtheplacentatobecometrappedbehindit.PlacentaAccretaPlacentaaccretacausestheplacentatoattachtothemuscularlayeroftheuterinewallratherthantheuterinelining.Thisoftenmakesdeliverymoredifficultandcausesseverebleeding.Ifthebleedingcan’tbestopped,bloodtransfusionsorahysterectomymayberequired.WhatAretheSignsandSymptomsofaRetainedPlacenta?Themostobvioussignofaretainedplacentaisafailureofallorpartoftheplacentatoleavethebodywithinanhourafterdelivery.Whentheplacentaremainsinthebody,womenoftenexperiencesymptomsthedayafterdelivery.Symptomsofaretainedplacentathedayafterdeliverycaninclude:afeverafoul-

RetainedplacentaFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchRetainedplacentaOthernamesRetainedproductsofconceptionSpecialtyObstetricsandgynaecology Retainedplacentaisaconditioninwhichallorpartoftheplacentaormembranesremainintheuterusduringthethirdstageoflabour.[1]Retainedplacentacanbebroadlydividedinto:failedseparationoftheplacentafromtheuterineliningplacentaseparatedfromtheuterineliningbutretainedwithintheuterusAretainedplacentaiscommonlyacauseofpostpartumhaemorrhage,bothprimaryandsecondary.[1]Retainedplacentaisgenerallydefinedasaplacentathathasnotundergoneplacentalexpulsionwithin30minutesofthebaby’sbirthwherethethirdstageoflaborhasbeenmanagedactively.[2]Contents1Signsandsymptoms2Management3Otheranimals4ReferencesSignsandsymptoms[edit]Risksofretainedplacentaincludehemorrhageandinfection.Aftertheplacentaisdelivered,theuterusshouldcontractdowntocloseoffallthebloodvesselsinsidetheuterus.Iftheplacentaonlypartiallyseparates,theuteruscannotcontractproperly,sothebloodvesselsinsidewillcontinuetobleed.Aretainedplacentatherebyleadstohemorrhage.[3]Management[edit]Drugs,suchasintraumbilicalorintravenousoxytocin,areoftenusedinthemanagementofplacentalretention.[4]Itisusefulensuringthebladderisempty.[2]However,ergometrineshouldnotbegivenasitcausestonicuterinecontractionswhichmaydelayplacentalexpulsion.[2]Controlledcordtractionhasbeenrecommendedasasecondalternativeaftermorethan30minuteshavepassedafterstimulationofuterinecontractions,providedtheuterusiscontracted.[2]Manualextractionmayberequiredifcordtractionalsofails,[2]orifheavyongoingbleedingoccurs.Thereiscurrentlyuncertaintyabouttheeffectivenessofanaesthesiaoranalgesiaformanualextraction,intermsofpainandtheriskofpostpartumhaemorrhage.[5]Veryrarelyacurettageisnecessarytoensurethatnoremnantsoftheplacentaremain(inrareconditionswithveryadherentplacentasuchasaplacentaaccreta).However,inbirthcentersandattendedhomebirthenvironments,itiscommonforlicensedcareproviderstowaitfortheplacenta'sbirthupto2hoursinsomeinstances.