{"id":25592,"date":"2021-12-15T16:59:20","date_gmt":"2021-12-15T22:59:20","guid":{"rendered":"https:\/\/americanpregnancy.org\/?p=25592"},"modified":"2023-06-01T04:12:23","modified_gmt":"2023-06-01T10:12:23","slug":"retained-placenta","status":"publish","type":"post","link":"https:\/\/americanpregnancy.org\/healthy-pregnancy\/labor-and-birth\/retained-placenta\/","title":{"rendered":"Retained Placenta"},"content":{"rendered":"
The final stage of labor occurs when the placenta<\/a> is expelled from the mother’s uterus<\/a>. For many women, this process happens on its own after the baby has come through the birth canal. However, for some, this process doesn’t happen automatically, resulting in a phenomenon called retained placenta.<\/p>\n Labor takes place in three stages:<\/p>\n However, if the woman has not expelled the placenta after 30 minutes of delivery, this is considered a retained placenta<\/strong>.\u00a0If a retained placenta is not treated, the mother is susceptible to both infection and extreme blood loss, which could be life-threatening.<\/p>\n If your pregnancy has moved through the labor and birth<\/a> stages normally, you can choose how to handle the final stage of labor. This\u00a0process is usually a part of a woman’s birth plan<\/a> discussion.<\/p>\n There are generally two approaches used when dealing with the placenta, whether a natural approach or a managed approach.<\/p>\n Syntometrine, ergometrine, and oxytocin are the drugs used to cause a woman’s body to contract and push out the placenta. If a woman has had complications<\/a> like high blood pressure<\/a> or preeclampsia<\/a> during her pregnancy, Syntocinon is given.<\/p>\n The benefit of opting for a managed final stage of labor is the reduction in bleeding immediately after the baby is born.<\/p>\n A midwife<\/a> can help prevent a retained placenta on rare occasions by gently pulling on the umbilical cord. However, the cord may break if the placenta hasn’t completely separated from the uterine walls or if the cord is thin. If this happens, delivery of the placenta can take place by using a contraction to push it out.<\/p>\n The most obvious sign of a retained placenta is when the placenta fails to be completely removed from the womb an hour after the baby’s delivery. <\/strong>Other symptoms may include:<\/p>\n Certain factors increase the likelihood of a woman experiencing a retained placenta. The treatment for a retained placenta is simply the removal of the placenta from the woman’s womb. Different methods to achieve this include:<\/p>\n Sometimes, something as simple as urinating is effective enough to expel the placenta because a full bladder can sometimes get in the way of expelling the placenta from the womb.<\/p>\n Unfortunately, if none of these methods succeed in removing the placenta from the uterus, emergency surgery may be needed as a last resort. This is usually saved as the last approach because of the complications that surgery can create.<\/p>\n The risk of heavy bleeding increases. This condition is referred to as primary postpartum hemorrhage (PPH). When the managed delivery of the placenta takes longer than 30 minutes, heavy bleeding often results.<\/p>\n You do have the option of requesting a general anesthetic, but you incur more risks, especially if you want to breastfeed right after the procedure.\u00a0Traces of the drug will still be in your system which means the drug would also be in your breastmilk<\/a>. You also need to make sure that you are alert enough to hold and support your baby for breastfeeding firmly.<\/p>\n However, if you do opt for the anesthetic, the placenta and any other remaining membranes will be manually removed from your womb while your legs rest in stirrups in the lithotomy position. After the procedure, you will be given antibiotics intravenously to avoid the risk of infection. Additional drugs will be given to help your womb to contract afterward.<\/p>\n A retained placenta can be treated. Timing is everything. The sooner steps are taken to rectify the problem, the better the outcome.<\/p>\n If you fall into a high-risk category for a retained placenta or have experienced one in the past, talk to your doctor before giving birth again. Your doctor will help you prepare for the possibility of complications<\/em>.<\/p>\n Your chances of having a retained placenta increase after you’ve already had one. But, you can still have a healthy pregnancy<\/a> that doesn’t produce this type of complication.<\/p>\n If your child is born premature, the risks increase as well. The placenta is supposed to stay in place for 40 weeks. As a result, premature labor may lead to a retained placenta.<\/p>\n Doctors do everything in their power to prevent a retained placenta by taking actions that hasten complete delivery of the placenta after the birth of the baby.<\/p>\n These steps are as follows:<\/p>\n These are all standard steps that your doctor may perform before you deliver the placenta. After childbirth, your doctor will also recommend massaging your uterus to encourage contractions that stop the bleeding and allow the uterus return to return to a small size.<\/p>\n In the unfortunate event that your cord snaps or your cervix closes too quickly after the oxytocin injection, consider a physiological third stage if you conceive again.<\/p>\n If you allow the placenta to deliver naturally, the cervix will more than likely close at the appropriate time, instead of closing too quickly. Discuss your options with your doctor.<\/p>\n However, keep in mind that the prolonged use of Syntocinon (artificial oxytocin) during labor has contributed to retained placentas.<\/em><\/strong><\/p>\n This concern may develop if your labor is induced or sped up<\/a>. However, although the potential for having a retained placenta with future pregnancies is prevalent, it’s not a guarantee that you won’t have a healthy pregnancy and delivery.<\/p>\n <\/p>\n <\/p>\n Compiled using information from the following sources:<\/p>\n 1. Begley C. 2014. Physiology and care during the third stage of labor. In: Marshall JE, Raynor MD. eds. Myles Textbook for Midwives 16th ed. Edinburgh: Churchill Livingstone, 395-416.<\/p>\n 2. BMagann EF, Lutgendorf MA, Keiser SD, et al. 2013. Risk factors for a prolonged third stage of labor and postpartum hemorrhage. South Med J 106(2):131-5.<\/p>\n 3. Coviello, E. M., Grantz, K. L., Huang, C. C., Kelly, T. E., & Landy, H. J. (2015, July 28). Risk factors for retained placenta.<\/p>\n \n 4. Mayo Clinic Staff. Placenta: How it works, what\u2019s normal.<\/p>\n https:\/\/www.mayoclinic.org\/healthy-lifestyle\/pregnancy-week-by-week\/in-depth\/placenta\/art-20044425<\/p>\n 5. Use of nitroglycerin to deliver a retained placenta.<\/p>\n https:\/\/www.cochrane.org\/CD007708\/PREG_use-nitroglycerin-deliver-retained-placenta<\/p>\n 6. Weeks, A. Retained placenta after vaginal birth.<\/p>\n https:\/\/www.uptodate.com\/contents\/retained-placenta-after-vaginal-birth<\/p>\n","protected":false},"excerpt":{"rendered":" The final stage of labor occurs when the placenta is expelled from the mother’s uterus. For many women, this process happens on its own after the baby has come through the birth canal. However, for some, this process doesn’t happen automatically, resulting in a phenomenon called retained placenta. What Is a Retained Placenta? Labor takes […]<\/p>\n","protected":false},"author":31,"featured_media":26063,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[46],"tags":[],"faq-categories":[8401],"acf":[],"yoast_head":"\nWhat Is a Retained Placenta?<\/h2>\n
\n
Two Approaches to Delivering the Placenta<\/h3>\n
\n
Three Types of Retained Placenta<\/h3>\n
\n
What Causes a Retained Placenta?<\/h3>\n
\n
What Are the Signs and Symptoms of a Retained Placenta?<\/h3>\n
\n
Who Is At Risk for a Retained Placenta?<\/h3>\n
\nThey include:<\/p>\n\n
How Is a Retained Placenta Treated?<\/h3>\n
\n
What Are the Potential Complications of a Retained Placenta?<\/h3>\n
What Is the Outlook for Women with a Retained Placenta?<\/h3>\n
Can I Prevent a Retained Placenta in My Next Pregnancy?<\/h3>\n
\n
Want to Know More?<\/h4>\n
\n
\n