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