If an individual has some or all of these symptoms, they should report them to a doctor. late period - ie if a woman’s period doesn't return within six weeks after the event.fever, abdominal or pelvic pain and tenderness - these symptoms can be signs of an infection in the retained products and.heavy vaginal bleeding - after childbirth, a termination or miscarriage, some bleeding is normal, but if the bleeding is very heavy (for example significantly heavier than period bleeding, or with large blood clots), prolonged (lasts more than three weeks) and/or doesn’t reduce over time, it may be due to RPOC.Women with RPOC may experience a number of symptoms, including: Other risk factors are failure to progress during delivery and instrument delivery. a woman has had multiple previous pregnancies.uterine scarring from previous surgery is present and/or.a woman has previously had a caesarean delivery.the placenta is lying low and covers the neck of the cervix (placenta previa). One of the most serious risk factors for RPOC is the condition placenta accreta, where the placenta becomes attached to the muscle of the womb and/or to nearby structures such as the bladder. RPOC are reported in 17% of first trimester miscarriages and 40% of late (second trimester) miscarriages, compared to less than 3% of full term deliveries. The risk of RPOC is much higher after a termination or miscarriage, as it can be more difficult to determine if all of the placental and fetal tissue has been expelled from the womb. After a caesarean delivery, in addition to inspecting the placenta, the inside of the womb should be examined by the obstetrician before suturing to ensure that none of the placenta is left behind. Retained products of conception (RPOC) are the placental and/or fetal tissue that remain in the womb following childbirth, a medical termination of pregnancy or a miscarriage.Īfter childbirth it is vital for the attending midwife to examine the placenta carefully to check that it is complete, as any tissue left behind can cause serious problems. Retained products of conception: risk factors and complications following pregnancy
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