While the placenta is usually expelled naturally after delivery, it isn't always removed automatically after every birth.
Placenta Delivery: The Usual Process
Typically, after a baby is born, the placenta detaches from the uterine wall and is delivered vaginally. The reference indicates that the placenta is typically expelled from the uterus naturally and quite quickly after the delivery of the baby. This is a normal part of the birthing process.
Retained Placenta: When Removal is Required
In some cases, the placenta doesn't detach or expel on its own. This is called a retained placenta. The reference states that there are times when the placenta remains inside the uterus and fails to be delivered. This happens in approximately 2% of deliveries. In such situations, medical intervention is required to remove the placenta to prevent complications.
Why is Removal Necessary?
A retained placenta can lead to serious complications, highlighting the importance of ensuring its removal. According to the reference, retained placenta can lead to serious complications.
Methods of Placenta Removal
If the placenta doesn't come out on its own, healthcare providers use different methods for removal:
- Manual Removal: A doctor or midwife manually removes the placenta from the uterus.
- Medication: Medications can be administered to help the uterus contract and expel the placenta.
- Surgical Removal (Dilation and Curettage - D&C): In rare cases, a surgical procedure may be necessary to remove the placenta.