AN APPRAISAL OF RETAINED PLACENTA AT THE UNIVERSITY OF PORT HARCOURT TEACHING HOSPITAL: A FIVE-YEAR REVIEW.

John C.O, Orazulike N., Alegbeleye J.

Available online Jul 19, 2018.

[ Original ] Volume 24, Issue 2, 2015, Pages 99-102


Abstract

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 emergency obstetrics care services.


Keywords

postpartum haemorrhage, skilled attendance, unbooked, maternal morbidity, manual removal,