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Retained placenta: will medical treatment ever be possible?
Achier D Akol1, Andrew D Weeks1
1Department of Women's and Children's Health, University of Liverpool, Liverpool, UK.
Acta Obstetricia Et Gynecologica Scandinavica
|January 15, 2016
Summary
Diagnosing the specific cause of retained placenta is crucial for effective treatment. Current methods lack efficacy due to varied pathologies, necessitating targeted interventions for better outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Retained placenta management typically involves manual removal.
- Existing medical treatments for retained placenta have shown limited effectiveness.
- Pathological subtypes of retained placenta present distinct physiological challenges.
Purpose of the Study:
- To highlight the ineffectiveness of current standard treatments for retained placenta.
- To underscore the need for accurate diagnosis of retained placenta subtypes.
- To advocate for the development of targeted therapeutic strategies based on specific pathologies.
Main Methods:
- Review of current clinical practices and literature on retained placenta treatment.
- Analysis of the physiological effects of uterotonics and relaxants on different placental subtypes.
- Identification of diagnostic gaps in current retained placenta management.
Main Results:
- Standard manual removal is the primary intervention for all retained placenta subtypes.
- Medical treatments, including uterotonics, are often ineffective and can be detrimental.
- Conflicting physiological requirements exist for treating placenta adherens versus trapped placenta.
Conclusions:
- Current treatment approaches for retained placenta are insufficient due to a lack of subtype-specific diagnosis.
- Effective management requires differentiating between placental pathologies like adherens and trapped placenta.
- Developing diagnostic tools is essential for implementing targeted and effective treatments for retained placenta.
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