How to determine whether the fetal membrane has been expelled?

After giving birth in the late stages of pregnancy, some remnants of fetal membranes are likely to remain in the uterus, and the remnants of fetal membranes will be discharged from the body along with menstrual blood or lochia. Generally, it will not cause much impact on the female body. To determine whether the fetal membranes are completely discharged, you can observe the flow of menstrual blood or do an ultrasound examination. You can also massage your lower abdomen to expel the remnants of fetal membranes as soon as possible.

How to determine whether the fetal membrane has been expelled?

It can be judged based on whether there is abdominal pain, abnormal bleeding and B-ultrasound examination. Check whether there is any residual manifestation in the uterine cavity 15 days after delivery

harm

During delivery, if there are remnants of placenta and fetal membrane tissue in the uterus, especially placenta remnants, it is easy to develop puerperal infection, incomplete uterine involution, late postpartum hemorrhage, etc.

If the uterus is not fully restored after delivery and the lochia has a foul odor, there may be an infection in the uterine cavity, and the mother will often have a fever. Placenta remains in the uterine cavity, which can cause massive bleeding and shock, requiring blood transfusion and emergency treatment.

Therefore, if a woman has persistent bloody lochia, she should consult a doctor for a thorough examination. B-ultrasound was used to determine whether there was any residue in the uterine cavity. If it is determined that there are residues in the uterus, the residual tissue should be removed by cleaning the uterus while fighting the infection. Inject uterotonics before and after surgery to reduce bleeding

When some residual placental tissue forms polyps in the uterine cavity and causes persistent vaginal bleeding, surgical removal of the polyps should be performed.

The placenta is usually delivered from the body about 5-15 minutes after the fetus is delivered from the birth canal, and no later than 30 minutes. If the placenta is not completely expelled and part of it remains inside the uterus, it is called retained placenta. Partial placental retention refers to the retention of part of the placental leaflet or accessory placenta in the uterine cavity, which can affect uterine contractions and cause postpartum hemorrhage.

When placenta retention occurs, abnormal symptoms such as lochia or continued bleeding may occur even after 10 days after delivery. Uterine contractants can be used to promote the expulsion of residual placenta, and postpartum curettage can be performed to remove residual placental tissue and reduce the occurrence of postpartum hemorrhage.

Treatment

1. If the situation is not serious or no abnormalities occur temporarily, uterotonic agents and antibiotics can be used.

2. 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, a large blunt curette can be used to scrape the uterus to remove it. 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.

3. While taking effective hemostatic measures according to the cause of the disease, shock must be actively prevented and treated.

4. Prevent infection. 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.