During pregnancy, your body does something incredible- It grows a new, but temporary, organ called the placenta. As you expect your little one, the placenta performs various functions that aid your baby’s development during pregnancy.
At the end of pregnancy, in normal situations, the placenta would also be delivered (right after your baby is born). However, in some instances, the placenta does not deliver when it should. When this happens, there’s a lot of bleeding that may become life-threatening if the placenta is retained for more than 30 minutes.
In this article, you’d find reliable info on retained placenta; the types, causes, risk factors, symptoms, and treatment options.
Read on to learn more!
Retained placenta occurs when the placenta remains in the uterus after giving birth, especially during vaginal delivery. The entire placenta, a part of it, or its membranes can remain in the uterus. As we mentioned earlier, a retained placenta may lead to serious blood loss.
In childbirth, the placenta is also delivered through the birth canal after the baby has been delivered. In fact, doctors often refer to this process as the third stage of labor.
Normally, labor occurs in three stages which are:
Usually, the placenta is extruded within 30 minutes after the baby has been delivered. So, if the placenta remains in the uterus for more than 30 minutes after the baby has been delivered is known as a retained placenta.
Basically, there are three types of retained placenta:
Some of the causes of a retained placenta are:
The probability of having retained placenta increases in the following instances:
There are usually two options for placenta delivery following vaginal birth:
Your midwife or doctor may also do any of these to help you deliver the placenta:
If you’re having a C-section, the surgeon would take out the placenta as a part of the procedure.
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Thankfully, the placenta has distinct features that make it easy to identify its complete removal after delivery. This way your doctor or surgeon can easily identify any case of incomplete or partial placenta delivery.
Doctors diagnose retained placenta if the placenta is not expelled within:
Obviously, the main symptom of a retained placenta is the failure of placenta delivery after childbirth. In other instances, pieces of the placenta may remain stuck in the uterus after childbirth, leading to infection and heavy postpartum bleeding.
If you notice any of these symptoms days or weeks after giving birth, contact your doctor:
Treating a retained placenta involves removing the entire placenta or any missing part of the placenta. In most cases, this is achieved by:
Your doctor or midwife can remove the placenta by putting one hand into the uterus to gently pull the placenta out while placing the other hand on your stomach to help steady your uterus. It is important to note that this procedure is often done right after childbirth. To ease the pain, your doctor would prescribe anesthetics.
In this instance, your doctor would administer certain medications that improve uterine contractions. With these drugs, like oxytocin, your uterus would contract well enough to expel the placenta.
Interesting, right?
Yes, this is another one of the many benefits of breastfeeding.
After delivery, breastfeeding increases the production of oxytocin, which promotes the uterine contractions necessary to expel the placenta after childbirth.
After trying all the methods mentioned above, and the placenta is still not extruded, you may need to undergo emergency surgery to remove any remnant placenta tissue.
However, this is only considered as a last resort.
Thankfully, retained placenta can be prevented by following routines that facilitate the third stage of labor. These include:
These actions promote proper uterine contractions during labor and facilitate the normal delivery of the placenta.
In conclusion, it is important to attend your antenatal clinics regularly as you expect your little one. This would provide your doctor with all the info needed to identify and manage any placenta complications during pregnancy. Furthermore, it is important to avoid the risk factors and keep an eye out for any of the symptoms mentioned in this article. You can read more on Eating Placenta here
We are always here to help you.
Alessandro Favilli, Valentina Tosto, Margherita Ceccobelli, Fabio Parazzini, Massimo Franchi, Vittorio Bini and Sandro Gerli (2021). Risk factors for non-adherent retained placenta after vaginal delivery: a systematic review. BMC Pregnancy Childbirth 21, 268. Accessed on 29th September, 2021 from https://doi.org/10.1186/s12884-021-03721-9
Nicola C Perlman and Daniela A Carusi (2019). Retained placenta after vaginal delivery: risk factors and management. International Journal of Women’s Health 11: 527–534. Accessed on 29th September, 2021 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789409/#__ffn_sectitle
Heleen J van Beekhuizen, Andrea B Pembe, Heiner Fauteck & Fred K Lotgering (2009). Treatment of retained placenta with misoprostol: a randomised controlled trial in a low-resource setting (Tanzania). BMC Pregnancy Childbirth 9, 46. Accessed on 29th September, 2021 from https://doi.org/10.1186/1471-2393-9-48
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