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Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh

Received: 8 July 2020     Accepted: 26 October 2020     Published: 4 November 2020
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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.

Published in Journal of Gynecology and Obstetrics (Volume 8, Issue 6)
DOI 10.11648/j.jgo.20200806.13
Page(s) 166-173
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Hemorrhage, Retained Placenta, Clinical Presentation

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.
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  • APA Style

    Jesika Rizvi Tamanna, Nahid Sultana, Joynab Akhter, Fakhria Alam, Farhana Dewan. (2020). Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh. Journal of Gynecology and Obstetrics, 8(6), 166-173. https://doi.org/10.11648/j.jgo.20200806.13

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    ACS Style

    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. J. Gynecol. Obstet. 2020, 8(6), 166-173. doi: 10.11648/j.jgo.20200806.13

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    AMA Style

    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. J Gynecol Obstet. 2020;8(6):166-173. doi: 10.11648/j.jgo.20200806.13

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  • @article{10.11648/j.jgo.20200806.13,
      author = {Jesika Rizvi Tamanna and Nahid Sultana and Joynab Akhter and Fakhria Alam and Farhana Dewan},
      title = {Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {8},
      number = {6},
      pages = {166-173},
      doi = {10.11648/j.jgo.20200806.13},
      url = {https://doi.org/10.11648/j.jgo.20200806.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200806.13},
      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.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh
    AU  - Jesika Rizvi Tamanna
    AU  - Nahid Sultana
    AU  - Joynab Akhter
    AU  - Fakhria Alam
    AU  - Farhana Dewan
    Y1  - 2020/11/04
    PY  - 2020
    N1  - https://doi.org/10.11648/j.jgo.20200806.13
    DO  - 10.11648/j.jgo.20200806.13
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 166
    EP  - 173
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20200806.13
    AB  - 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.
    VL  - 8
    IS  - 6
    ER  - 

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Author Information
  • Department of Gynaecology & Obstetrics, Ibn Sina Medical College & Hospital, Kallyanpur, Dhaka, Bangladesh

  • Department of Gynaecology & Obstetrics, Rajshahi Medical College Hospital, Rajshahi, Bangladesh

  • Department of Gynaecology & Obstetrics, Upazila Health Complex, Savar, Dhaka, Bangladesh

  • Department of Gynaecology &Obstetrics, 250 Bedded General Hospital, Jamalpur, Bangladesh

  • Department of Obstetrics &Gynaecology, Ibn Sina Medical College & Hospital, Kallyanpur, Dhaka, Bangladesh

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