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    Retained Placental Fragments

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    Hannah Laput
    Retained placental fragments occur when part of the placenta separates and is left behind after delivery. This can lead to uterine bleeding due to incomplete uterine contraction. Risk factors include maternal age over 30, preterm delivery before 34 weeks, prolonged labor, and stillbirth. Diagnosis is made using ultrasonography and blood tests. Nursing care focuses on monitoring for infection, blood loss, and hypovolemia and administering fluids and medications as needed.

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    Retained Placental Fragments

    Uploaded by

    Hannah Laput
    1K views9 pages
    Retained placental fragments occur when part of the placenta separates and is left behind after delivery. This can lead to uterine bleeding due to incomplete uterine contraction. Risk factors include maternal age over 30, preterm delivery before 34 weeks, prolonged labor, and stillbirth. Diagnosis is made using ultrasonography and blood tests. Nursing care focuses on monitoring for infection, blood loss, and hypovolemia and administering fluids and medications as needed.

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    RETAINED PLACENTAL FRAGMENTS

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    Retained placental fragments occur when part of the placenta separates and is left behind after delivery. This can lead to uterine bleeding due to incomplete uterine contraction. Risk factors include maternal age over 30, preterm delivery before 34 weeks, prolonged labor, and stillbirth. Diagnosis is made using ultrasonography and blood tests. Nursing care focuses on monitoring for infection, blood loss, and hypovolemia and administering fluids and medications as needed.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views9 pages

    Retained Placental Fragments

    Uploaded by

    Hannah Laput
    Retained placental fragments occur when part of the placenta separates and is left behind after delivery. This can lead to uterine bleeding due to incomplete uterine contraction. Risk factors include maternal age over 30, preterm delivery before 34 weeks, prolonged labor, and stillbirth. Diagnosis is made using ultrasonography and blood tests. Nursing care focuses on monitoring for infection, blood loss, and hypovolemia and administering fluids and medications as needed.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 9

    RETAINED

    PLACENTAL
    FRAGMENTS
    BADON / LAPUT / LIONG / MAGTIBAY / PURI
    PATHOPHYSIOLOGY
    RETAINED PLACENTAL FRAGMENTS

    Occasionally, a placenta does not deliver


    in its entirety; fragments of it separate
    and are left behind. Because the portion
    retained keeps the uterus from
    contracting fully, uterine bleeding occurs.
    ETIOLOGY

    This includes Failure of the Cervix might


    placenta uterus to have retracted Obstruction
    contract after too fast and
    acreta, of placental
    the delivery of partially closed.
    percreta and delivery.
    the baby.
    succenturiate Rapid
    placenta Uterine Atony Retraction of
    Cervix Full
    Placental Bladder
    Problems
    ETIOLOGY

    OCCURENCE
    This occurs at an incidence of about
    1 in 3000 births (Poggi, 2007)

    0.033%
    CLINICAL MANIFESTATIONS
    DELAYED PROLONGED
    POSTPARTUM POSTPARTUM
    HEMORRHAGE SPOTTING

    FOUL-SMELLING PAIN THAT


    VAGINAL DOESN’T STOP
    DISCHARGE

    PIECES OF TISSUE ELEVATED BODY


    COMING FROM TEMPERATURE
    THE PLACENTA
    RISK FACTORS

    Maternal age of 30 and


    01 above
    Preterm delivery before 34th
    02 week of gestation

    03 Prolonged labour

    04 Delivering stillbirth
    DIAGNOSTIC PROCEDURES

    ULTRASONOGRAPH
    Y
    BLOOD SERUM
    SAMPLE
    NURSING DIAGNOSIS
    Risk for infection related to
    01 retained placental fragments

    Deficient fluid volume related


    02 to blood loss

    Risk for postpartal


    03 haemorrhage related to
    retained placental fragments
    Risk for ineffective tissue
    04 perfusion related to
    hypovolemia
    MANAGEMENT

    INFECTION DEF FLUID VOL HAEMORRHAG INEFFECTIVE


    E TP
    o Monitor o Monitor colour, o Monitor oxygen
    o Monitor amount
    temperature amount and
    of bleeding saturation
    o Maintain consistency of
    o Place in o Administer O2
    lochia
    hydration o Insert catheter and Trendelenburg using face
    o Provide monitor urine position mask
    perineal care output o Provide comfort o Assess vital
    o Bed rest measures
    o Administer fluids, signs
    o Administer O2
    blood, or blood
    products or plasma
    and other
    as ordered medications as
    ordered

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