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What Happens If Placenta Is Not Completely Removed?

Published in Postpartum Complications 2 mins read

If the placenta is not completely removed after childbirth (a condition called retained placenta), serious complications can occur. Left untreated, a retained placenta can lead to significant health risks.

Here's a breakdown of the potential consequences:

  • Hemorrhage: The most immediate risk is postpartum hemorrhage, or excessive bleeding. The uterus cannot contract properly to stop bleeding from the area where the placenta was attached if placental fragments remain.
  • Infection: Retained placental tissue provides a breeding ground for bacteria, leading to uterine infection (endometritis).
  • Subinvolution of the Uterus: The uterus may not return to its pre-pregnancy size and shape as expected.
  • Blood Clots: Retained placental tissue can increase the risk of developing blood clots.
  • Sepsis: A severe, life-threatening complication that can arise from an untreated infection.
  • Infertility: In some cases, complications from a retained placenta can affect future fertility.

Summary Table of Risks:

Complication Description
Postpartum Hemorrhage Excessive bleeding after childbirth.
Endometritis Infection of the uterine lining.
Subinvolution Failure of the uterus to return to its normal size.
Blood Clots Increased risk of developing dangerous blood clots.
Sepsis A life-threatening complication resulting from infection.
Infertility Potential impact on future ability to conceive.

What to do if you suspect a retained placenta:

If you experience any of the following symptoms after childbirth, seek immediate medical attention:

  • Heavy vaginal bleeding
  • Fever
  • Abdominal pain or tenderness
  • Foul-smelling vaginal discharge

Early diagnosis and treatment of a retained placenta are essential to prevent serious complications. Treatment may include manual removal of the placenta, medication to help the uterus contract, or surgical removal of the retained tissue.

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