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Year : 2015  |  Volume : 24  |  Issue : 2  |  Page : 99-102

An appraisal of retained placenta at the university of port harcourt teaching hospital: A five-year review.

Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria

Correspondence Address:
C O John
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, PMB 6173, Port Harcourt
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1115-2613.278309

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BACKGROUND Retained placenta is associated with an increased risk of maternal morbidity and mortality especially in developing countries. OBJECTIVE To determine the incidence and evaluate the mode of presentation, risk factors and method of treatment of patients with retained placenta. METHODOLOGY A retrospective review of retained placenta managed at the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt over a 5 year period (January 2009 to December 2013). Data obtained were analyzed using statistical software SPSS 17.0. RESULTS There were 93 cases of retained placenta out of 15,789 deliveries, giving an incidence of 0.59%. 85 patients' case records were available for analysis. Majority of the patients 69(81.2%) were unbooked (had no antenatal care) with 60(70.6%) having home deliveries.Previous history of dilatation and curettage and preterm deliveries,accounted for the major identifiable risk factors at 55(64.7%) and 22(25.9%) respectively. At presentation, 22(25.9%) were in hypovolemic shock. Manual removal of the placenta was the commonest treatment modality (87.1%).There was one maternal death giving rise to a case fatality rate of 1.18%. CONCLUSION Retained placenta is a major cause of maternal morbidity and mortality from postpartum haemorrhage and other complications related to its removal. The incidence can be reduced by antenatal care, skilled birth attendance and provision of emergencyobstetrics care services.

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