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Risk factors for retained placenta in southwestern Nigeria
A T Owolabi1, F O Dare, O B Fasubaa
1Department of Obstetrics, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun 220005, Nigeria. alexandrerowolabi@yahoo.com
Singapore Medical Journal
|August 13, 2008
Summary
This study identified key risk factors for retained placenta in Nigeria, including not attending antenatal care and previous placental retention. Targeted interventions for high-risk women can help prevent this complication.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Reproductive Health
Background:
- Retained placenta is a significant obstetric complication.
- Understanding its incidence and risk factors is crucial for maternal healthcare in southwestern Nigeria.
Purpose of the Study:
- To determine the incidence of retained placenta.
- To identify independent risk factors associated with retained placenta in Ile-Ife, Nigeria.
Main Methods:
- Prospective case-control study.
- 120 women with retained placenta and controls were analyzed.
- Multivariate logistic regression was used to identify independent risk factors.
Main Results:
- The incidence of retained placenta was 1.9% (120 cases out of 6,160 deliveries).
- Independent risk factors included non-use of antenatal care, previous retained placenta, previous Cesarean section, advanced maternal age, grand multiparity, prior dilatation and curettage, preterm delivery, and low placenta weight (<501g).
- Non-use of antenatal care (OR 22.71) and previous retained placenta (OR 15.22) were strongly associated.
Conclusions:
- Identifying women with risk factors is essential for preventing retained placenta.
- Training birth attendants in proper delivery and third-stage labor management is recommended to reduce retained placenta and postpartum hemorrhage.

