🤱 Retained Placenta Complication Simulator

Retained Placental Fragments After Delivery

A fragment of placenta can remain adherent to the uterine wall after birth.

• ~2%: Occurrence rate (of vaginal deliveries)
• <30 min: Normal 3rd stage (placental delivery window)
• Uterine: Cavity involved (wall attachment site)
• Exam + US: Detection method (visual and ultrasound check)

How fragments stay behind

Placeholder: incomplete separation leaves fragment tissue attached to the wall.

The Thirty-Minute Delivery Time Threshold

Placenta undelivered past thirty minutes is classified as retained.

• 30 min: Threshold (active management guideline)
• With time: Risk rises (longer retention, more risk)
• Continuous: Monitoring (vitals and bleeding watch)
• Escalate: Action point (call for intervention team)

Why timing matters

Placeholder: delay past thirty minutes raises hemorrhage probability sharply.

Continued Bleeding and Infection Risk

Retained tissue blocks contraction, causing ongoing blood loss and infection.

• Hemorrhage: Main risk (postpartum blood loss)
• Infection: Secondary risk (endometritis from retained tissue)
• Reduced: Uterine tone (atony from incomplete emptying)
• Rising: Urgency (with time and blood loss)

Bleeding mechanism

Placeholder: fragment prevents full contraction, vessels stay open and bleed.

Manual or Instrumental Removal Procedure

Clinician removes retained tissue manually or with instruments under anesthesia.

• Manual / D&C: Method (hand or curettage removal)
• OR / bedside: Setting (depends on severity)
• Often used: Anesthesia (for pain control)
• Full evacuation: Goal (empty uterine cavity)

Removal technique

Placeholder: gentle sweep or curettage clears remaining placental fragments.

Ultrasound Confirmation of Complete Evacuation

Ultrasound scan confirms the uterine cavity is fully cleared.

• Ultrasound: Confirmation tool (post-procedure imaging)
• Empty cavity: Target (no residual tissue seen)
• Vitals check: Follow-up (monitor bleeding trend)
• Resolved: Outcome (complication addressed)

Confirming success

Placeholder: clean scan image confirms no fragments remain in cavity.

Placeholder: successful evacuation lowers bleeding and infection risk quickly.