Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh
Journal of Gynecology and Obstetrics
Volume 8, Issue 6, November 2020, Pages: 166-173
Received: Jul. 8, 2020;
Accepted: Oct. 26, 2020;
Published: Nov. 4, 2020
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Jesika Rizvi Tamanna, Department of Gynaecology & Obstetrics, Ibn Sina Medical College & Hospital, Kallyanpur, Dhaka, Bangladesh
Nahid Sultana, Department of Gynaecology & Obstetrics, Rajshahi Medical College Hospital, Rajshahi, Bangladesh
Joynab Akhter, Department of Gynaecology & Obstetrics, Upazila Health Complex, Savar, Dhaka, Bangladesh
Fakhria Alam, Department of Gynaecology &Obstetrics, 250 Bedded General Hospital, Jamalpur, Bangladesh
Farhana Dewan, Department of Obstetrics &Gynaecology, Ibn Sina Medical College & Hospital, Kallyanpur, Dhaka, Bangladesh
Introduction: Retained placenta is one of the causes of postpartum haemorrhage in Bangladesh as it is worldwide and a common problem faced by the department of obstetrics. Objective: To determine the clinical presentation of patients admitted with retained placenta at the Dhaka Medical College Hospital, Dhaka, Bangladesh. Material & Methods: This was a cross-sectional study which was carried out in the department of Obstetrics and Gynaecology, Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh, during the study period from January 2010 to June 2010. A total number of 50 cases were selected for the study. The data were collected by pre-designed questionnaire; relevant information was collected by direct interview of patients and relatives. Statistical analyses were carried out by using the Statistical Package for Social Sciences version 16.0 for Windows (SPSS). Results: Mean age was found 27.04±3.48 years with range from 20 to 36 years. Home delivery was found in 31 (62.0%). Mean duration of retained placenta was found 3.0±0.58hrs with range from 2.30 to 4.3hrs. Mild per vaginal bleeding was found 4 (8.0%), Moderate P/V bleeding was 42 (84.0%) and severe bleeding was 4 (8.0). Regarding past history, patients with myomectomy was found 1 (2.0%), cesarean was 3 (6.0%). H/O retained placenta was 9 (18.0%). H/O MR was 24 (48.0%) and D&C was 18 (36.0%). Primi para was found 2 (4.0%) and multi para was 48 (96.0). Moderate anaemia was found 41 (82.0), normal temperature was 49 (98.0%), mean pulse was 91.0±8,13 beats/min mean systolic BP was found 91.9±6.81 mmHg and mean diastolic BP was 57.6±5.55mmHg. From P/A examination of the study patients it was found that, atonic uterus was 29 (58.0%), tenderness was 2 (4.0%), more than three fourth 76% was with full urinary bladder, mean height of uterus was 22.24±1.6 weeks. Moderate per vaginal bleeding was 41 (82.0%), vaginal full with clot was 41 (82.0%) and OS was open in 46 (92.0%). Mean Hb% was found 8.25±0.85 gm/dl with range from to 7 to 9.2gm/dl. Conclusion: The incidence and severity may be decreased by health education, women empowerment and the provision of facilities for essential obstetrics services by high skilled health care providers in ensuring a properly conducted delivery with discharged after timely effective management.
Jesika Rizvi Tamanna,
Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh, Journal of Gynecology and Obstetrics.
Vol. 8, No. 6,
2020, pp. 166-173.
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