What to do if placenta adhesion occurs after childbirth

The placenta is an organ that grows attached to the uterus. When examining pregnant women, doctors can usually only use ultrasound to determine the maturity and size of the placenta, but cannot infer the phenomenon of placental adhesion. Since women must remove the placenta after giving birth, if placenta adhesion occurs, it will be difficult to remove the placenta. So what is the solution to postpartum placenta adhesion?

What to do if placenta adheres

Ultrasound examination cannot detect placenta adhesion, it can only understand the position of the placenta in the uterus, the maturity of the placenta, and whether there are any abnormal tumors in the placenta. Generally, ultrasound during pregnancy may provide some hints, but it is not absolute. Only a very experienced doctor could have guessed. When giving birth, the placenta was found to be adhered. The doctor would remove the placenta manually, but it was not removed completely. So uterine cleaning surgery was performed 1-3 days after delivery under intravenous infusion of oxytocin.

It is very easy for the placenta or fetal membranes to remain and adhere to during mid-term induction of labor. This is because the placenta and fetal membranes have not yet grown to maturity. This is very common during mid-term induction of labor. If it is a full-term birth, the cause of residual and adhesion of the placenta and fetal membranes may be inflammation of the endometrium or the use of pregnancy-preserving drugs during pregnancy. It is recommended to have a gynecological examination before the next pregnancy. If there is inflammation of the endometrium, treatment can be provided.

The general method used clinically to prevent adhesions is to get out of bed and move around 24 hours after surgery, which can effectively prevent it. Partial adhesions may cause bleeding due to incomplete peeling. It is common in multiple induced abortions, which cause damage to the endometrium and endometritis or endometritis caused by other reasons. Treatment method: Insert your hands into the uterine cavity and gently peel off the placenta and remove it. Immediately after removal, check whether the placenta and fetal membranes are intact. Uterine contractions are injected after surgery to reduce bleeding, and antibiotics are given to prevent infection.