What to do if there is placenta residue in the uterus

What to do if there is placenta residue in the uterus

When a woman gives birth, most of the placenta in the uterus will be discharged from the body about fifteen minutes after delivery. However, there may be some remnants left in the uterus when the placenta is discharged from the birth canal. This is the placental residue. If the residues are not removed from the body, women will often feel bloating and pain in the lower abdomen. If this continues for a long time, the harm will be particularly great. So what should we do when there are placenta residues in the uterus?

Common causes of retained placenta are placenta accreta and placenta accreta. A history of multiple pregnancies and multiple miscarriages and curettages can lead to damage to the endometrium. When the placenta covers the damaged endometrium, placental adhesion or implantation is likely to occur, which can easily lead to retained placenta. Endometrial inflammation is also a common cause of placenta adhesion and implantation.

The greatest harm of retained placenta is that it can lead to poor uterine contraction, thus causing prolonged lochia and even heavy bleeding. It may also lead to intrauterine infection and then develop into pelvic inflammatory disease. Have a history of multiple pregnancies or

Women with a history of miscarriage and curettage need to pay great attention to the occurrence of retained placenta. The integrity of the placenta should be checked immediately after delivery to ensure that no large pieces of placenta remain. For patients who experience increased postpartum bleeding or persistent lochia, B-ultrasound can be performed to determine whether there are small amounts of placental fragments remaining in the uterus.

B-ultrasound confirms retained placenta. Depending on the size of the residue, the condition of lochia, the duration of retained placenta, etc., conservative treatment or surgical treatment can be chosen. For those with smaller residues, conservative treatment can be chosen, such as oxytocin to enhance uterine contractions, Shenghua Tang, Motherwort and other blood stasis removal treatments. If the residual material is large, the bleeding is heavy, or the placenta is retained for a long time, or if conservative treatment is ineffective, uterine curettage is recommended. Reducing or avoiding abortion curettage can effectively reduce the occurrence of placental retention. It is also recommended to wait 3-6 months after abortion curettage to wait for the endometrium to repair before becoming pregnant again.

If the placenta is adhered or the expelled placenta is defective, artificial placental separation should be performed to remove the placenta or residual placental tissue. If it is difficult to remove the residual placenta, it can be removed by scraping the uterus with a large blunt curette. If the placenta is incarcerated above the stenotic ring and is difficult to remove manually, it can be removed by dilating it with the fingers under general anesthesia. While taking effective hemostatic measures according to the cause of the disease, shock prevention and treatment must be actively carried out. Excessive blood loss may reduce the body's resistance, leading to puerperal infection or even sepsis, which is life-threatening. Therefore, large amounts of antibiotics should be given after delivery, and anemia should be actively corrected and nutrition should be strengthened.

The placenta is a very nutritious thing. In order to maintain their appearance and prevent them from aging quickly, some celebrities go to the hospital to buy placens, and then process and eat them. The original placenta has some bacteria, so it should be disinfected first to remove bacteria and viruses. It can be used to stew soup, stir-fry, or be combined with some vegetables to create different flavors. Here are a few recommendations for you.

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