It can also happen if you have a fibroid or another problem with your uterus. Many women will have an injection of syntocinon a synthetic version of the hormone oxytocin , which not only helps deliver the placenta but also helps reduce the risk of postpartum bleeding.
Another symptom can be bleeding before the placenta comes out. If a piece of placenta is left behind, you may develop symptoms days or weeks after the birth. These may include:. Sometimes retained placenta can be treated simply if you empty your bladder, change position and have the doctor or midwife gently pull on the umbilical cord. Your doctor will use an instrument called a curette to scrape away the lining of the uterus.
The procedure itself is quick, but you will need to be monitored for several hours after to make sure you are not bleeding. It is not always obvious after the placenta has been delivered that some tissue may have been left behind and this can lead to infection and bleeding.
If you are bleeding heavily after the birth, you will need surgery to investigate the cause. Learn more here about the development and quality assurance of healthdirect content. The placenta develops inside the uterus during pregnancy and provides your baby with nutrients and oxygen. If something goes wrong, it can be serious. Learn more about labour complications.
Postpartum haemorrhage is when you bleed more than normal after the birth. It can be very serious and requires medical attention right away. The placenta is made up of sections, each connected to the umbilical cord by its own set of vessels and a double-layer membrane that forms a see-through sac around the fetus.
After you have your baby, the final or third stage of labor is the delivery of the placenta during uterine contractions. Delivering the placenta usually occurs within five to 30 minutes of delivery, whether vaginally or by C-section. Sometimes, however, part or all of the placenta can be retained inside the womb because a portion has grown through the uterine muscle or is "caught" inside a corner of the uterus as it contracts down.
The most common sign of a retained placenta is when the organ that nourishes your baby during pregnancy fails to be delivered spontaneously within 30 and 60 minutes of childbirth. If pieces of the placenta are still inside your body days or weeks after delivery, you may experience symptoms including:. Since retained placenta occurs after delivery, there are no repercussions for the baby.
But retained placenta can be risky for new moms. In the time between the delivery of the baby and the delivery of the placenta, excessive bleeding or postpartum hemorrhage can occur, which can lead to significant blood loss, even putting the mother at risk of needing a blood transfusion and other emergency measures to stop the bleeding. Labor and delivery units are trained to follow steps to determine why a mother is bleeding excessively and get the hemorrhage under control as soon as possible.
By 14 days postpartum, a placental scab forms and you may see an increase in red bleeding when the placenta scab falls off, which may go unnoticed because the uterus is already shrinking. Treatment requires removing the placenta or the portions of it that have stayed inside the womb. Immediately after delivery, this retained part can be removed manually or using an instrument to assist. What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations.
Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy. Placenta Accreta When the placenta attaches to the muscular walls of the uterus instead of the lining of the uterine walls, delivery becomes harder and often results in severe bleeding. What Causes a Retained Placenta? Here are common circumstances that result in a retained placenta: A Placenta Percreta occurs when the placenta grows all the way through the wall of the womb.
In rare situations, this happens because the placenta has become deeply embedded within the womb. Placenta Accreta takes place when the placenta has become deeply embedded in the womb, possibly due to a previous cesarean section scar.
A Trapped Placenta results when the placenta detaches from the uterus but is not delivered. Instead, it becomes trapped behind a closed cervix or a cervix that has partially closed. They include: A pregnancy that occurs in women over the age of 30 Having a premature delivery that takes place before the 34th week of gestation Experiencing an extremely long first and second stage of labor Delivering a stillborn baby How Is a Retained Placenta Treated?
Different methods are often employed to achieve this, and they include: A doctor may attempt to remove the placenta manually. However, this does carry some risk of infection. Medications that relax the uterus to make it contract can also be used to help expel the placenta from the womb.
Breastfeeding can be utilized in some situations because the process causes the uterus to contract and may be enough to expel the uterus from the womb. These steps are as follows: Medication that encourages contractions in the uterus to help push out the placenta.
Oxytocin Pitocin is an example of a medication that might be used Control Cord Traction CCT after the placenta has released Stabilizing your uterus by applying CCT through touch manual touch These are all standard steps that your doctor may perform before you deliver the placenta.
Want to Know More? Mayo Clinic Staff. Use of nitroglycerin to deliver a retained placenta. Weeks, A. Retained placenta after vaginal birth. Can I get pregnant if…? Share this post:. Share on facebook Facebook. Share on twitter Twitter. Share on linkedin LinkedIn.
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