A woman who delivered two hours previously at home is diagnosed with a retained placenta. She presents via ambulance with severe vaginal bleeding. Of the following which is the possible management of her complication?

Question

Quizplus · Accepted Answer

All of the above
The placenta is normally delivered soon after the birth of the newborn. The reasons for placental retainment by the patient include: 1) the uterus has stopped contracting; 2) all or part of the placenta is afixed to the uterine wall; 3) the placenta is prevented from expulsion by the cervix; and 4) patient has a full bladder.
Management for retained placenta includes:
1. Rapid assessment (i.e., performing a uterine massage)
2. Blood transfusion
3. Catheterization of bladder
4. Manual removal of the placenta
5. Initiation of broad spectrum antibiotics

A Woman Who Delivered Two Hours Previously at Home Is