(1995) Primary postpartum haemorrhage: causes aetiological risk factors prevention and management. M H Soltan and T Khashoggi (1997) Retained placenta and associated risk factors.Shunji Suzuki and Miwa Igarashi (2008) Clinical significance of pregnancies with succenturiate lobes of placenta.(2013) A novel treatment for management of a trapped placenta using intracervical nitroglycerin tablets. (2008) Post partum haemorrhage secondary to uterine atony complicated by platelet storage pool disease and partial placenta diffusa: a case report. The drawback in this treatment is you cannot carry pregnancies in the future (13). It is a surgical process of uterus removal. Hysterectomy: In the case of placenta percreta, where the placenta is deeply grown into the uterus, hysterectomy helps.However, its safety and efficacy should be carefully evaluated by a doctor before use (11) (12). Note: Using prostaglandin E1 (misoprostol) to treat a retained placenta can be a cost-effective option. Under this method, a curette is used to remove the placental debris from the uterus through scrapping (11). Curettage: In the case of placenta accreta, manual removal is done partially, and curettage removes the rest.In this case, your doctor will gently pull the umbilical cord to help rid the body of the placenta (10). Controlled cord traction: This is performed when the placenta is separated from the uterus, but is still not able to come out.You will require more intravenous drugs after the manual placenta removal for the uterus to contract (9). The practitioner will then place her hand inside the uterus to remove the placenta. You will also get a local anesthesia, either spinal or epidural i X A type of anesthesia employed in pain management during labor and childbirth. She will insert a catheter to empty the bladder, and give you intravenous antibiotics to prevent any infection. Manual removal of placenta: Your doctor performs this either in a delivery room or operation theater.If the above doesn’t work, you may go for further treatments. In case the placenta doesn’t come out even after managed third stage, your doctor will give you another oxytocin injection and also inject saline into your umbilical vein to expel the placenta. Related: 6 Functions Of Placenta During Pregnancy And Placental Problems
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