Complications of manual removal of the placenta

 · The major complication is postpartum hemorrhage (PPH), which is the leading cause of maternal morbidity and mortality worldwide. Whereas in the event ofPPH due to atony of the uterus there exist numerous treatment guidelines; for the management of retained placenta the general consensus is more difficult to www.doorway.ru by: Placenta needed to be removed manually in % of all deliveries in our department. It was associated with increased incidence of hemorrhage and consequently low hemoglobin values. Women with a history of retained placenta have an increased risk of recurrence of retained placenta in subsequent deli Cited by: Results: Overall (% of all vaginal deliveries) were complicated by manual placental removal. Independent risk factors included advanced maternal age (odds ratio (OR) , 95% CI ), previous manual removal (OR , 95% CI ), regional anesthesia (OR , 95% CI ), and labor induction (OR , 95% CI ).Cited by: 8.

In this case placenta is removed in parts. The complications may occur as a consequence of manual removal of retained placenta. During the manual removal genital tract can be damaged and bacteria can be introduced so that a woman may eventually end up with severe puerperal infection. Manual removal of the placenta is an option for the treatment of retained placenta, but it carries the risks for hemorrhage, infection, and genital tract trauma. In an attempt to avoid manual removal of the placenta, intraumbilical vein injection of oxytocin (10–20 units oxytocin in 20 ml of saline solution) has been proposed as an alternative to the management of retained placenta. The aim of this study was to determine the incidence and complications related to manual removal of the placenta in a regional hospital in Australia. The study was carried out at the Goulburn Valley Base Hospital in Shepparton. The hospital medical records were reviewed from to A total of .

31 thg 3, This gap could be explained by the inclusion of placental manual S. Risk factors and complications of manual placental removal after. 19 thg 5, The retained placenta was managed by manual removal under general anesthesia. puerperal interventions can lead to serious complications. 5 “Complications of a retained placenta include heavy bleeding, infection, uterine scarring, blood transfusion, and hysterectomy. Any of these.