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    Retained Placenta

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    Halbar August Kanda
    This document discusses a case report of a patient who experienced retained placenta after a normal delivery. The patient came to the hospital complaining of bleeding from her vagina a day after delivery. On examination, she had lost 1.5 liters of blood and fainted. An ultrasound found placental tissue remaining in the uterus. She was diagnosed with postpartum hemorrhage due to suspected retained placenta and anemia. She received blood transfusions and medications. The placenta was surgically removed in the operating room. Her prognosis was guarded for life, function, and healing. The document also provides background information on retained placenta including definition, classification, diagnosis, treatment and prognosis.

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    Retained Placenta

    Uploaded by

    Halbar August Kanda
    692 views23 pages
    This document discusses a case report of a patient who experienced retained placenta after a normal delivery. The patient came to the hospital complaining of bleeding from her vagina a day after delivery. On examination, she had lost 1.5 liters of blood and fainted. An ultrasound found placental tissue remaining in the uterus. She was diagnosed with postpartum hemorrhage due to suspected retained placenta and anemia. She received blood transfusions and medications. The placenta was surgically removed in the operating room. Her prognosis was guarded for life, function, and healing. The document also provides background information on retained placenta including definition, classification, diagnosis, treatment and prognosis.

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    This document discusses a case report of a patient who experienced retained placenta after a normal delivery. The patient came to the hospital complaining of bleeding from her vagina a day after delivery. On examination, she had lost 1.5 liters of blood and fainted. An ultrasound found placental tissue remaining in the uterus. She was diagnosed with postpartum hemorrhage due to suspected retained placenta and anemia. She received blood transfusions and medications. The placenta was surgically removed in the operating room. Her prognosis was guarded for life, function, and healing. The document also provides background information on retained placenta including definition, classification, diagnosis, treatment and prognosis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    692 views23 pages

    Retained Placenta

    Uploaded by

    Halbar August Kanda
    This document discusses a case report of a patient who experienced retained placenta after a normal delivery. The patient came to the hospital complaining of bleeding from her vagina a day after delivery. On examination, she had lost 1.5 liters of blood and fainted. An ultrasound found placental tissue remaining in the uterus. She was diagnosed with postpartum hemorrhage due to suspected retained placenta and anemia. She received blood transfusions and medications. The placenta was surgically removed in the operating room. Her prognosis was guarded for life, function, and healing. The document also provides background information on retained placenta including definition, classification, diagnosis, treatment and prognosis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    of 23

    Retained Placenta

    Supervisor
    Dr. Taufik Wahyudi Sp. OG

    BAGIAN/SMF OBSTETRI dan GINEKOLOGI


    BLUD RSUD MEURAXA
    2015

    Introduction
    Complicated up to 2.03.3% of all vaginal
    deliveries.
    Potentially
    lifethreatening
    complication
    The most common cause
    of
    postpartum
    hemmorage

    Case Report

    Anamnesis
    Patient came to RSUD Meuraxa
    with chief complain bleeding
    from her vagina after normal
    delivery since a days ago.
    Blood output about 1.5 L
    After bleeding, patient fainted
    Obs history : normal labor,
    aterm, 3 years ago, healthy child
    3 YO.

    Physical
    Examination
    General
    findings

    Local findings
    (inspeculo)

    General contition : Bad


    Placenta (+)
    Consciousness : CM
    Ruptur Portio (+)
    BP : 100/60mmHg
    Bleeding about 500cc
    HR : 100 beat/m,
    Stocell (+)
    regular

    RR : 25 time/m
    T : 38.1 0C

    Work Up

    Laboratory
    Jenis
    findings
    July 6 2015

    July 7 2015

    July 8 2015

    5.5 gr/dl

    9.1 gr/dl

    10.8 gr/dl

    Erytrocyte

    1.91.106/mm3

    3,2. 106/mm3

    3.8. 106/mm3

    Leucocyte

    10.7.103/mm3 13.8.103/ mm3

    12. 103/mm3

    Trombocyte

    215.103 / mm3 160.103/ mm3

    175. 103/mm3

    pemeriksaan
    Hb

    Ht

    15.6 %

    25,9 %

    30.8 %

    Work Up
    USG Obs/july 6th
    Placenta tissue about 4x5
    cm

    Abces and
    subcutaneous
    emphysema

    Diagnose
    Post partum hemmorage e.c
    susp. retained placenta + anemia

    Treatment
    IVFD RL 20gtt/i
    In PRC
    transfusion
    hospital
    ward6 kolf

    until Hb>10
    Cefotaxime 1gr/12
    hours
    Oxytocin drip in 500cc
    RL
    Post curratage
    Drip metronidazole
    Cefotaxime 1gr/12
    hours

    Surgical Intervention
    Perform
    curratage in
    operation
    room

    Prognosis
    Quo ad Vitam : Dubia ad bonam
    Quo ad Functionam : Dubia ad
    bonam
    Quo ad Sanactionam : Dubia ad
    bonam

    Literary

    Anatomy of Placenta

    Definition
    Is placenta doesnt deliver
    30 to 45 minute after baby
    was delivered
    Often accompanied by
    heavy bleeding

    Classification
    Placenta accreta
    Placenta increta
    Placenta percreta

    Work Up
    Obstetri
    USG

    MRI

    Diagnose

    Work Up
    Physical
    Examinati
    on
    Anamnesi
    s

    Treatment

    Manual
    removal

    Uterotonic
    drugs

    Umbilical vein
    injection

    Prognosis

    Commonly good.
    Based on accuracy

    of
    diagnosis and appropriate
    treatment.

    18

    Discussion

    Discussion
    Findings

    Theory

    Thank You
    Lets Discuss

    Reference
    1. Weeks, Andrew. The retained placenta. Afr Health Sci. 2001. 1(1):36-41
    2. Urner F, Zimmermann R, Kraft A. Manual Removal of the placenta after
    vaginal delivery: An unsolved problem in obstetric. Hindawi Journal of
    Pregnancy. 2014.

    3. Nikolajsen S, Leth Lokkegaard E, Bergholt T. Reoccurence of retained


    placenta at vaginal delivery: an observational study. AOGS. 2013. 92:421-425

    4. Belachew J, Cnattingius S, Mulic-Lutvica A, Eurenius K, Axelsson O, Wikstrom


    AK. Risk of retained placenta in women previously delivered by caesarean
    section: a population-based cohort study. BJOG. 2013. 121:224-229

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