Surgical Care at the District Hospital
Part 1 2 3 4 5 6 Primary Trauma Care Manual
Emergency Obstectric Care
Hypertension in Pregnancy
Hypertension
Assessment and management
Delivery
Postpartum care
Chronic hypertension
Complications
Management of Slow Progress of Labour
General principles
Slow progress of labour
Progress of labour
Operative procedures
Bleeding in Pregnancy and Childbirth
Bleeding
Diagnosis and initial management
Specific management
Procedures
Aftercare and follow-up
Specific Management
 


> THREATENED ABORTION
> INEVITABLE ABORTION
> INCOMPLETE ABORTION
> COMPLETE ABORTION
> ECTOPIC PREGNANCY
> ABRUPTION PLACENTAE
> COAGULOPATHY (CLOTTING FAILURE)
> RUPTURED UTERUS
> PLACENTA PREVIA
> ATONIC UTERUS
> TEARS OF CERVIX, VAGINA OR PERINEUM
> RETAINED PLACENTA
> RETAINED PLACENTAL FRAGMENTS
> INVERTED UTERUS
> DELAYED ("SECONDARY") POSTPARTUM HAEMORRAGE



RETAINED PLACENTAL FRAGMENTS

When a portion of the placenta – one or more lobes – is retained, it prevents the uterus from contracting effectively.

:: Feel inside the uterus for placental fragments. Manual exploration of the
uterus is similar to the technique described for removal of the retained placenta.
:: Remove placental fragments by hand, ovum forceps or large curette.
:: If bleeding continues, assess coagulation status using a bedside clotting test.

> THREATENED ABORTION
> INEVITABLE ABORTION
> INCOMPLETE ABORTION
> COMPLETE ABORTION
> ECTOPIC PREGNANCY
> ABRUPTION PLACENTAE
> COAGULOPATHY (CLOTTING FAILURE)
> RUPTURED UTERUS
> PLACENTA PREVIA
> ATONIC UTERUS
> TEARS OF CERVIX, VAGINA OR PERINEUM
> RETAINED PLACENTA
> RETAINED PLACENTAL FRAGMENTS
> INVERTED UTERUS
> DELAYED ("SECONDARY") POSTPARTUM HAEMORRAGE



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