Reducing Risks of Retained Placenta during Childbirth

The arrival of a newborn brings immense joy and relief, but for some mothers, complications can arise during the birthing process, leading to retained placenta.

Retained placenta occurs when part or all of the placenta remains inside the uterus after childbirth. Normally, the placenta detaches from the uterine wall following the birth of the baby and is expelled from the mother’s body during the third stage of labour.

However, in some cases, the placenta does not detach completely or is unable to be expelled from the uterus, leading to a retained placenta. 

Retained Placenta Example

Retained placenta can be classified into two main types:

Partial Retained Placenta:

In this type, only a portion of the placenta remains attached to the uterine wall or is retained inside the uterus. This can occur when the placenta separates incompletely during labour or when small fragments of placental tissue are left behind.

Complete Retained Placenta:

In this type, the entire placenta remains inside the uterus after childbirth. This is less common than partial retention but can pose greater risks and complications if not managed properly.

 

 

Retained placenta can occur for various reasons, including:

Inefficient uterine contractions:

If the uterus fails to contract adequately after childbirth, the placenta may not detach completely, leading to retention.

Placenta accreta:

This condition occurs when the placenta attaches too deeply or abnormally to the uterine wall, making it difficult to separate during delivery.

Placenta previa:

In cases where the placenta partially or completely covers the cervix, obstructing the passage of the placenta during delivery, retention can occur.

Maternal factors:

Conditions such as uterine scarring from previous surgeries (like caesarean deliveries), medical conditions affecting uterine function, or abnormalities in the shape of the uterus can contribute to retained placenta.

How does simulation training help mitigate complications associated with retained placenta?

Retained placenta can lead to complications such as postpartum haemorrhage, infection, uterine rupture, and long-term reproductive issues if not managed promptly and effectively.

Treatment typically involves manual removal of the placenta under anaesthesia, medications to stimulate uterine contractions, or, in severe cases, surgical intervention.Prompt recognition and management of retained placenta are crucial to minimize risks and ensure the health and well-being of both the mother and baby.

Simulation training can be highly beneficial in reducing the risks associated with retained placenta, by providing healthcare professionals with a realistic environment to practice and refine their skills.

Simulation training helps in several ways:

lubricating a placenta

Skill Enhancement

Simulation allows obstetricians, midwives, and other healthcare providers to practice the manual removal of placenta in a controlled setting. They can refine their techniques, understand the nuances of different scenarios, and gain confidence in their abilities without risking patient safety.

 

 

retained placenta simulation model

Risk Identification

Through simulation exercises, healthcare providers can encounter various complications associated with retained placenta, such as excessive bleeding or uterine perforation, in a safe environment. This helps them recognize these risks early and develop strategies to manage them effectively.

 

simulation training

Team Training

Obstetric emergencies like retained placenta require coordinated efforts from a multidisciplinary team. Simulation training enables healthcare professionals to practice communication, teamwork, and leadership skills in managing such emergencies, leading to better patient outcomes.

 

Simulating the Manual Removal of Placenta with MODEL-med

Simulation training plays a crucial role in reducing the risks associated with retained placenta by improving the skills of healthcare providers, enhancing teamwork and communication, and identifying potential complications.

Sophie and Sophie’s Mum Manual Removal of Placenta Kit Add-on

Whether you are an experienced medical practitioner, or you are a student just beginning your studies, the MODEL-med Sophie and Sophie’s Mum Manual Removal of Placenta Kit Add-on will enable you to develop or enhance the core competencies required to manage childbirth.

This add-on requires that you already have Sophie and Sophie’s Mum Full Birth Simulator.

Sophie and Sophie’s Mum Manual Removal of Placenta Kit Add-on offers a comprehensive approach to reducing the risks and complications associated with retained placenta during childbirth