Introduction: Retained placenta is one of the causes of postpartum haemorrhage in Bangladesh as it is worldwide and a common problem faced by the department of obstetrics. Objective: To determine the clinical presentation of patients admitted with retained placenta at the Dhaka Medical College Hospital, Dhaka, Bangladesh. Material & Methods: This was a cross-sectional study which was carried out in the department of Obstetrics and Gynaecology, Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh, during the study period from January 2010 to June 2010. A total number of 50 cases were selected for the study. The data were collected by pre-designed questionnaire; relevant information was collected by direct interview of patients and relatives. Statistical analyses were carried out by using the Statistical Package for Social Sciences version 16.0 for Windows (SPSS). Results: Mean age was found 27.04±3.48 years with range from 20 to 36 years. Home delivery was found in 31 (62.0%). Mean duration of retained placenta was found 3.0±0.58hrs with range from 2.30 to 4.3hrs. Mild per vaginal bleeding was found 4 (8.0%), Moderate P/V bleeding was 42 (84.0%) and severe bleeding was 4 (8.0). Regarding past history, patients with myomectomy was found 1 (2.0%), cesarean was 3 (6.0%). H/O retained placenta was 9 (18.0%). H/O MR was 24 (48.0%) and D&C was 18 (36.0%). Primi para was found 2 (4.0%) and multi para was 48 (96.0). Moderate anaemia was found 41 (82.0), normal temperature was 49 (98.0%), mean pulse was 91.0±8,13 beats/min mean systolic BP was found 91.9±6.81 mmHg and mean diastolic BP was 57.6±5.55mmHg. From P/A examination of the study patients it was found that, atonic uterus was 29 (58.0%), tenderness was 2 (4.0%), more than three fourth 76% was with full urinary bladder, mean height of uterus was 22.24±1.6 weeks. Moderate per vaginal bleeding was 41 (82.0%), vaginal full with clot was 41 (82.0%) and OS was open in 46 (92.0%). Mean Hb% was found 8.25±0.85 gm/dl with range from to 7 to 9.2gm/dl. Conclusion: The incidence and severity may be decreased by health education, women empowerment and the provision of facilities for essential obstetrics services by high skilled health care providers in ensuring a properly conducted delivery with discharged after timely effective management.
| Published in | Journal of Gynecology and Obstetrics (Volume 8, Issue 6) |
| DOI | 10.11648/j.jgo.20200806.13 |
| Page(s) | 166-173 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Hemorrhage, Retained Placenta, Clinical Presentation
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APA Style
Jesika Rizvi Tamanna, Nahid Sultana, Joynab Akhter, Fakhria Alam, Farhana Dewan. (2020). Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh. Journal of Gynecology and Obstetrics, 8(6), 166-173. https://doi.org/10.11648/j.jgo.20200806.13
ACS Style
Jesika Rizvi Tamanna; Nahid Sultana; Joynab Akhter; Fakhria Alam; Farhana Dewan. Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh. J. Gynecol. Obstet. 2020, 8(6), 166-173. doi: 10.11648/j.jgo.20200806.13
AMA Style
Jesika Rizvi Tamanna, Nahid Sultana, Joynab Akhter, Fakhria Alam, Farhana Dewan. Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh. J Gynecol Obstet. 2020;8(6):166-173. doi: 10.11648/j.jgo.20200806.13
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Download@article{10.11648/j.jgo.20200806.13,
author = {Jesika Rizvi Tamanna and Nahid Sultana and Joynab Akhter and Fakhria Alam and Farhana Dewan},
title = {Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh},
journal = {Journal of Gynecology and Obstetrics},
volume = {8},
number = {6},
pages = {166-173},
doi = {10.11648/j.jgo.20200806.13},
url = {https://doi.org/10.11648/j.jgo.20200806.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200806.13},
abstract = {Introduction: Retained placenta is one of the causes of postpartum haemorrhage in Bangladesh as it is worldwide and a common problem faced by the department of obstetrics. Objective: To determine the clinical presentation of patients admitted with retained placenta at the Dhaka Medical College Hospital, Dhaka, Bangladesh. Material & Methods: This was a cross-sectional study which was carried out in the department of Obstetrics and Gynaecology, Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh, during the study period from January 2010 to June 2010. A total number of 50 cases were selected for the study. The data were collected by pre-designed questionnaire; relevant information was collected by direct interview of patients and relatives. Statistical analyses were carried out by using the Statistical Package for Social Sciences version 16.0 for Windows (SPSS). Results: Mean age was found 27.04±3.48 years with range from 20 to 36 years. Home delivery was found in 31 (62.0%). Mean duration of retained placenta was found 3.0±0.58hrs with range from 2.30 to 4.3hrs. Mild per vaginal bleeding was found 4 (8.0%), Moderate P/V bleeding was 42 (84.0%) and severe bleeding was 4 (8.0). Regarding past history, patients with myomectomy was found 1 (2.0%), cesarean was 3 (6.0%). H/O retained placenta was 9 (18.0%). H/O MR was 24 (48.0%) and D&C was 18 (36.0%). Primi para was found 2 (4.0%) and multi para was 48 (96.0). Moderate anaemia was found 41 (82.0), normal temperature was 49 (98.0%), mean pulse was 91.0±8,13 beats/min mean systolic BP was found 91.9±6.81 mmHg and mean diastolic BP was 57.6±5.55mmHg. From P/A examination of the study patients it was found that, atonic uterus was 29 (58.0%), tenderness was 2 (4.0%), more than three fourth 76% was with full urinary bladder, mean height of uterus was 22.24±1.6 weeks. Moderate per vaginal bleeding was 41 (82.0%), vaginal full with clot was 41 (82.0%) and OS was open in 46 (92.0%). Mean Hb% was found 8.25±0.85 gm/dl with range from to 7 to 9.2gm/dl. Conclusion: The incidence and severity may be decreased by health education, women empowerment and the provision of facilities for essential obstetrics services by high skilled health care providers in ensuring a properly conducted delivery with discharged after timely effective management.},
year = {2020}
}
TY - JOUR T1 - Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh AU - Jesika Rizvi Tamanna AU - Nahid Sultana AU - Joynab Akhter AU - Fakhria Alam AU - Farhana Dewan Y1 - 2020/11/04 PY - 2020 N1 - https://doi.org/10.11648/j.jgo.20200806.13 DO - 10.11648/j.jgo.20200806.13 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 166 EP - 173 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20200806.13 AB - Introduction: Retained placenta is one of the causes of postpartum haemorrhage in Bangladesh as it is worldwide and a common problem faced by the department of obstetrics. Objective: To determine the clinical presentation of patients admitted with retained placenta at the Dhaka Medical College Hospital, Dhaka, Bangladesh. Material & Methods: This was a cross-sectional study which was carried out in the department of Obstetrics and Gynaecology, Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh, during the study period from January 2010 to June 2010. A total number of 50 cases were selected for the study. The data were collected by pre-designed questionnaire; relevant information was collected by direct interview of patients and relatives. Statistical analyses were carried out by using the Statistical Package for Social Sciences version 16.0 for Windows (SPSS). Results: Mean age was found 27.04±3.48 years with range from 20 to 36 years. Home delivery was found in 31 (62.0%). Mean duration of retained placenta was found 3.0±0.58hrs with range from 2.30 to 4.3hrs. Mild per vaginal bleeding was found 4 (8.0%), Moderate P/V bleeding was 42 (84.0%) and severe bleeding was 4 (8.0). Regarding past history, patients with myomectomy was found 1 (2.0%), cesarean was 3 (6.0%). H/O retained placenta was 9 (18.0%). H/O MR was 24 (48.0%) and D&C was 18 (36.0%). Primi para was found 2 (4.0%) and multi para was 48 (96.0). Moderate anaemia was found 41 (82.0), normal temperature was 49 (98.0%), mean pulse was 91.0±8,13 beats/min mean systolic BP was found 91.9±6.81 mmHg and mean diastolic BP was 57.6±5.55mmHg. From P/A examination of the study patients it was found that, atonic uterus was 29 (58.0%), tenderness was 2 (4.0%), more than three fourth 76% was with full urinary bladder, mean height of uterus was 22.24±1.6 weeks. Moderate per vaginal bleeding was 41 (82.0%), vaginal full with clot was 41 (82.0%) and OS was open in 46 (92.0%). Mean Hb% was found 8.25±0.85 gm/dl with range from to 7 to 9.2gm/dl. Conclusion: The incidence and severity may be decreased by health education, women empowerment and the provision of facilities for essential obstetrics services by high skilled health care providers in ensuring a properly conducted delivery with discharged after timely effective management. VL - 8 IS - 6 ER -
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