Some expectant mothers will develop some postpartum diseases after giving birth to their babies after ten months of pregnancy, and unclean placental separation will be a postpartum disease in the future. Many people do not know how this disease is caused and how serious it is. In fact, this is because the placenta of the fetus did not completely separate from the mother's abdomen during the mother's reproduction process. So, what are the symptoms of unclean placental separation? First, what are the symptoms of incomplete placental separation? The placenta is usually delivered from the body about 5-15 minutes after the fetus is delivered from the birth canal, and no later than 30 minutes. At this time, if the placenta is not completely expelled and part of it remains inside the uterus, it is called retained placenta. Partial placental retention refers to the retention of part of the placental leaflet or accessory placenta in the uterine cavity, which can affect uterine contractions and cause postpartum hemorrhage. When placenta retention occurs, abnormal symptoms such as lochia or continued bleeding may occur even after 10 days after delivery. Uterine contractants can be used to promote the expulsion of residual placenta, and postpartum curettage can be performed to remove residual placental tissue and reduce the occurrence of postpartum hemorrhage. Second, if bloody lochia lasts for more than 2 weeks and the amount is large, it often indicates that the placenta attachment site is not restored well or there are residual placenta and fetal membranes; if the lochia is not clear one month after delivery and is accompanied by a foul or rotten odor, or is accompanied by abdominal pain and fever, it may be an infection of the vagina, uterus, fallopian tubes, or ovaries; if accompanied by heavy bleeding and the uterus is large and soft, it often indicates poor uterine recovery. What are the symptoms of unclean placental separation? If the situation is not serious or no abnormalities occur temporarily, uterotonics and antibiotics can be used. If the placenta is adhered or the expelled placenta is defective, artificial placental separation should be performed to remove the placenta or residual placental tissue. If it is difficult to remove the residual placenta, it can be removed by scraping the uterus with a large blunt curette. If the placenta is incarcerated above the stenotic ring and is difficult to remove manually, it can be removed by dilating it with the fingers under general anesthesia. 3. While taking effective hemostatic measures according to the cause of the disease, shock prevention and treatment must be actively carried out. 4. Prevent infection. Excessive blood loss may reduce the body's resistance, leading to puerperal infection or even sepsis, which is life-threatening. Therefore, large amounts of antibiotics should be given after delivery, and anemia should be actively corrected and nutrition should be strengthened. |
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