How to Handle Retained Placenta After Vaginal Delivery
Retained placenta refers to the condition where the placenta does not naturally expel from the body after vaginal delivery. Although the incidence is low (about 1%-3%), it is a postpartum emergency. As new parents, it is crucial to stay calm when facing this unexpected situation. Retained placenta requires professional medical intervention to avoid complications such as heavy bleeding or infection. This article, based on guidelines from the World Health Organization (WHO) and the American Academy of Pediatrics (AAP) after 2020, helps you understand the basic principles of management while conveying confidence: timely action can effectively protect the health of mother and baby.
Possible Causes
- Insufficient uterine contraction: After delivery, the uterine muscles fail to contract effectively, preventing the placenta from detaching.
- Abnormal placental attachment: Such as the placenta implanting too deeply into the uterine wall or partial adhesion, increasing the risk of retention.
- Factors related to labor management: Including multiple pregnancies or a history of uterine surgery, which may affect the expulsion of the placenta.
Home Care Recommendations
- Immediately contact medical help: Retained placenta requires professional handling; call emergency services or go to the hospital as soon as possible.
- Keep the mother comfortable: Assist her to lie flat and rest, avoiding strenuous activities to reduce the risk of bleeding.
- Monitor vital signs: Pay attention to the amount of bleeding and level of pain, provide emotional support to help alleviate anxiety.
When to Seek Medical Care
- ⚠️ If there is persistent or heavy bleeding (e.g., soaking more than 2 sanitary pads per hour), seek medical care immediately.
- ⚠️ If fever, chills, or severe abdominal pain occurs, seek medical care immediately.
- ⚠️ If the placenta is not expelled within 30 minutes after delivery, seek medical care immediately.
Conclusion
Although retained placenta is rare, it can be safely resolved in most cases with timely medical intervention. New parents, you have taken a brave step! Remember, the professional medical team is your strong support. Maintain a positive mindset, focus on the health of mother and baby, and you will get through this challenge.
The information provided in this article is for reference only and cannot replace professional medical diagnosis or treatment advice; if any health issues arise in the child or the danger signs mentioned in the text appear, consult qualified medical personnel immediately.