Archive
2021, Volume 9
2020, Volume 8
2019, Volume 7
2018, Volume 6
2017, Volume 5
2016, Volume 4
2015, Volume 3
2014, Volume 2
2013, Volume 1
Special Issues
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
Volume 8, Issue 6, November 2020, Pages: 166-173
Received: Jul. 8, 2020; Accepted: Oct. 26, 2020; Published: Nov. 4, 2020
Views 150 Downloads 47
Authors
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
Abstract
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.
Keywords
Hemorrhage, Retained Placenta, Clinical Presentation
To cite this article
Jesika Rizvi Tamanna,
Nahid Sultana,
Joynab Akhter,
Fakhria Alam,
Farhana Dewan,
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.
doi: 10.11648/j.jgo.20200806.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Dutta D. C., 2008. Text book of Obstetrics. 6th revised ed, pp. 419-20.
[2]
Chhabra, S. Dhorey, M., 2002. Retained Placenta continues to be fatal but frequency can be reduced. J Obstet Gynaecol, 22 (6), pp. 630-333.
[3]
Niolajsen, S., Lokkegaard, E. c., Bergholt, T., 2012. Reoccurrence of retained placenta at vaginal delivery: an observational study. Acta Obstet Gynecol, Scand.
[4]
Eifedifyi, R. A., Eigbefoh, J. O., Isabu, P. A., Omorogbe, F. I., Ukponmwan, O. G., Momoh, M., 2011. Retained Placenta: Still a Cause of maternal morbidity and morbidity in a Nigerian Semi- urban Population, 6 (1), pp 33-38
[5]
Panpaprai, P., Boriboonhirunsarn, D., 2007. Risk Factors of Retained Placenta in Siriraj Hospital. J Mod Assoc Thai, 90 (7), pp. 1293-7.
[6]
Soltan, M. H. and Khashoggi, T., 1997. Retained placenta and associated risk factors Journal of Obstetrics and Gynaecology. 17 (3), pp. 245-247.
[7]
Owolabi, A. T., Dare, F. O., Fasubaa, O. B., Ogunlola, I. O., Kuti, O., Bisiriyu, L. A., 2008. Risk factors for retained placenta in southwestern Nigeria. Singapore Med, 49 (70), p.: %32.
[8]
Hyder, Z., 1995. Retained Placenta Medical Journal, 2 (1), pp. 18-21.
[9]
Bhowmik, J., 2009. Determination of prdisposing factors and outcome of retained placenta among admitted cases in Dhaka Medical College Hospital. P. 29.
[10]
Van Beekhuizen, H. J., Vierhout, M. E., 1994. Afd. Verloskunde en Gynecologic, Ikazia Zickenhuis, Rotterdam, [Risk of recurrence of retained placenta] Article in Dtuch] PMID: 758948] Pub Med-Indexed for Medlin] 17: Ned tijdchr Geneeskd, 138 (43), pp. 2149-52.
[11]
Tandberg, A., Albrechtsen, S., and lversen, O. E., 1999. Manual removal of placenta. Acta obstet Gynecol Scand, 78, pp. 33-36.
[12]
Adelusi, A., sultan, M. H., Chowdhury, N., Kangave, D., 1997. Risk of retained placenta: multivariate approach. Acta Obstet Gynecol Scand, 77, pp. 414-8.
[13]
Dombrowski, M. P., Bottoms, S. F., Saleh, A. A., Hurd, W. W., Romero, R., 1995. Third stage of labor: analysis of duration and clinical practice. Am J Obstet Gynecol, 172, pp. 1279-84.
[14]
Ely, J. W., Rijhsinghani, A., Bowdier, N. C., Dawson, J. D., 1995. The association between manual removal of the placenta and postpartum endometritis following vaginal delivery. Obstet gynecol, 86, pp. 1001-6.
[15]
Chang, A., Larkin, P., Eslwe, E. J., Condie, R., Morrison, J., 1977. The obstetric performance of the grand multiple multiparas. Med J, 1 (10), pp. 330-2.
[16]
Das, S. H., 2004. Incidence, causes and management of retained placenta of admitted cases in IPD of Dhaka Medical College Hospital.
PUBLICATION SERVICES
JOIN US
SPECIAL SERVICES
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186
FOLLOW SciencePG
