Retained portions of placenta and membranes, without haemorrhage - what does this mean
Retained portions of placenta and membranes, without haemorrhage occurs when the placenta and/or its membranes are not expelled fully from the uterus after childbirth. this can be due to the uterus not contracting properly, or due to an abnormally adherent placenta. it can also occur due to a manual removal of the placenta or membranes that is incomplete. in some cases, it can be asymptomatic or cause mild cramping and bleeding. it is important to diagnose and treat this condition promptly to avoid further complications.
What happens during the disease - retained portions of placenta and membranes, without haemorrhage
The pathogenesis of retained portions of placenta and membranes, without haemorrhage, is likely due to a delay in the expulsion of the placenta and membranes from the uterus after delivery. this is often caused by a weakened or inadequate uterine contraction, or due to a prolonged second stage of labour. it can also occur due to an abnormally adherent placenta, or due to a mechanical obstruction such as an abnormally shaped uterus or a large baby. if left untreated, it can lead to infection and haemorrhage.
Treatment and Medical Assistance
Main goal of the Treatment: To ensure the complete removal of the retained portions of placenta and membranes, without haemorrhage.
- Perform a manual examination of the uterus to check for any retained fragments.
- Administer antibiotics to reduce the risk of infection.
- Administer oxytocin to stimulate uterine contractions.
- Perform a dilation and curettage (D&C) to remove any remaining fragments.
- Monitor the patient for any signs of haemorrhage.
- Perform a follow-up ultrasound to check for any retained fragments.
5 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Retained portions of placenta and membranes, without haemorrhage - Prevention
The best way to prevent retained portions of placenta and membranes without haemorrhage is to ensure that the placenta and membranes are completely expelled from the uterus after delivery. this can be achieved through proper monitoring of the uterus during the third stage of labor, and through the use of manual removal of the placenta and membranes if necessary. additionally, it is important to ensure that the mother receives adequate nutrition during pregnancy, and that she is in good health prior to delivery.