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Related Experiment Videos

Retained placenta and associated risk factors.

M H Soltan1, T Khashoggi

  • 1Department of Obstetrics and Gynaecology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
|January 1, 1997
PubMed
Summary

A history of retained placenta and previous uterine surgery are key indicators for postpartum complications. Recognizing these risk factors can help obstetricians anticipate and manage retained placenta during labor.

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Medicine
  • Maternal-Fetal Medicine

Background:

  • Retained placenta is a significant obstetric complication with potential maternal morbidity.
  • Identifying predictive factors for retained placenta is crucial for timely intervention and improved patient outcomes.
  • Previous studies have explored various risk factors, but a comprehensive analysis is warranted.

Purpose of the Study:

  • To identify and analyze the key factors associated with the retention of placenta in a cohort of patients.
  • To compare risk factors in patients with retained placenta versus those with uncomplicated vaginal delivery.
  • To provide clinicians with a better understanding of risk stratification for retained placenta.

Main Methods:

  • Retrospective case-control study involving 146 patients with retained placenta and 300 controls.

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  • Data collected on maternal age, parity, antenatal abnormalities, labor characteristics, uterine surgery history, and previous retained placenta.
  • Statistical analysis to determine the significance of various factors in relation to retained placenta.

    • Main Results:

    • Significant risk factors for retained placenta, in descending order of significance, include: history of retained placenta, previous uterine surgery, preterm delivery, maternal age >35 years, placental weight <601g, pethidine use, labor induction, and high parity (>5).
    • The presence of multiple risk factors increases the likelihood of retained placenta.
    • Specific labor characteristics and maternal history were strongly correlated with the complication.

    Conclusions:

    • History of retained placenta and previous uterine surgery are the most significant predictors.
    • Obstetricians should be vigilant for retained placenta in patients presenting with a combination of identified risk factors.
    • Early identification and management strategies can be informed by these findings to reduce maternal complications.