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Asked: 2020-10-14T10:56:37+06:00 In:

How we can nanage a case of retained placenta?

Nasim
How we can nanage a case of retained placenta?
managementretained placenta

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    1. Dr Md shahriar kabir B H M S; MPH
      Teacher dr.basuriwala

      Managing a retained placenta is crucial to prevent complications such as severe bleeding and infection. Here are the general steps and methods used: Immediate Management 1. Active Management: - Uterotonic Agents: Administering medications like oxytocin or Syntometrine to stimulate uterine contractioRead more

      Managing a retained placenta is crucial to prevent complications such as severe bleeding and infection. Here are the general steps and methods used:

      Immediate Management
      1. Active Management:
      – Uterotonic Agents: Administering medications like oxytocin or Syntometrine to stimulate uterine contractions.
      – Controlled Cord Traction: Gently pulling on the umbilical cord while applying counterpressure to the uterus.

      2. Manual Removal:
      – If the placenta does not deliver with medication and controlled traction, a healthcare provider may manually remove it. This procedure is usually done under adequate analgesia or anesthesia.

      3. Emptying the Bladder:
      – Catheterizing the bladder if the woman is unable to pass urine herself, as a full bladder can impede placental delivery.

      Further Interventions
      1. Surgical Intervention:
      – If manual removal is unsuccessful or not possible, surgical options like a dilation and curettage (D&C) may be necessary.

      2. Antibiotics:
      – Administering antibiotics to prevent or treat infection, especially if manual or surgical removal is performed.

      3. Homoeopathic: Female; retained placenta: AGN(3) alch-v(2) all-s ARIST-CL(3) ARN(3) ARS(3) ART-V(3) BELL(4) CACT(3) CANTH(4) CARB-V(3) CAUL(3) CHAM(3) CHIN(3) CIMIC(3) COCC(3) COFF(3) CON(3) CROC(3) CUPR(3) dict(2) ergot erig ferr(2) GELS(3) GOSS(3) HYDR(3) hyos IGN(3) IP(4) KALI-C(3) LEUC-C(3) lil-t(2) mag-p mit nux-m NUX-V(3) phos plat PULS(4) pyrog rhus-t SABIN(4) SEC(4) SEP(4) sol stram(2) sulph(2) tril ust VERAT-V(3) VISC(3).

      4. Monitoring and Support:
      – Continuous monitoring of vital signs, blood loss, and overall condition. Intravenous fluids and blood transfusions may be required in cases of significant hemorrhage.

      Post-Procedure Care
      1. Observation:
      – Close monitoring for signs of infection or continued bleeding.
      – Ensuring the uterus contracts properly to prevent further complications.

      2. Follow-Up:
      – Regular follow-up appointments to monitor recovery and address any complications that may arise.

      Managing a retained placenta requires prompt and effective intervention to ensure the safety and health of the mother.

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