Recognize the dangers of a baby's placenta left in the uterus
The baby's placenta is an organ during pregnancy that attaches to the uterine wall and is connected to the baby with an umbilical cord. The role of the baby's placenta is to flow blood from the mother to the fetus so that the baby receives oxygen and the required nutrition.
During labor, the placenta will be removed after the baby is born. Removal of the placenta allows the uterus to contract perfectly, thus closing the still open uterine blood vessels. If this process is interrupted, the mother will experience bleeding.
After the baby is born, the doctor will take steps to release the placenta. By stretching the cord, the placenta can be removed completely. The doctor will also give medicines to stimulate uterine contractions. In general, oxytocin will be given intramuscularly in the upper thigh or intravenously.
Even though the treatment has been carried out according to the procedure, the condition of the baby's placenta sometimes remains in the uterus or placental retention cannot be avoided. The risk of placental retention will be greater if the mother has a pregnancy of 30 years, if the premature baby is less than 34 weeks and if work is extended to periods 1 and 2.
The cause of the baby's placenta is left behind
The baby's placenta can remain in the uterus if the uterine contractions are gone or if the contractions produced are not enough so that the baby's placenta cannot escape from the uterine wall. This condition is called uterine atony.
In some cases, all or part of the placenta attaches to the uterine wall. The baby's placenta can stick to the uterine wall until it enters and attacks the organs around the uterus. Depending on the severity, attachment of the placenta to the baby can be divided into three, namely placenta accreta, placenta increta, and placenta perreta.
In placenta accreta, the baby's placenta is firmly attached to the uterine wall, whereas to the placenta the placenta attaches deeper to the muscles of the uterine wall. The most serious and most rare cases are percheta placenta cases. In this condition, the placenta enters the uterine wall and can attack organs around the uterus, such as the bladder and rectum.
Placental retention can also be caused by the fact that the placenta is trapped in the uterus. This occurs when the cervix closes in part or in full, so the placenta that has separated from the uterine wall cannot be removed.
The danger of leaving a baby's placenta
Removal of the baby's placenta is done after the baby is born. Therefore, a restrained baby's placenta does not cause complications in the baby. The main complication due to placental retention is bleeding in the mother. This happens if the baby's placenta does not come out within 30 minutes after birth.
Primary postpartum hemorrhage occurs within 24 hours after delivery. Mothers who experience bleeding that does not stop can cause hemorrhagic shock. This situation requires immediate help and the mother will be ready to undergo a blood transfusion. The mother continues to bleed until the remaining placenta has been removed.
Placental retention can also cause secondary postpartum hemorrhage. This condition can occur if only a small portion of the placenta is left. Secondary postpartum hemorrhage occurs more than 24 hours to 12 weeks postpartum.
After delivery, the mother may experience a small amount of bleeding within the normal range. However, on days 10 to 12 after giving birth, the mother may experience heavy bleeding. Mothers can experience severe abdominal pain for 2 to 3 weeks after giving birth. In addition, there is a risk of fever, decreased milk production and vaginal discharge with pubic odor.
If the mother suspects that the placenta has remained behind, seek immediate medical attention for proper examination and treatment.
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