This is what can happen to the placenta when giving birth

Various problems need to be aware of during labor. One of them is the difficulty of the placenta. If not handled properly, this incident could threaten the lives of mothers. The placenta has the function of delivering oxygen and nutrients to the fetus, as well as removing waste material from the baby's blood. The placenta also adjusts the right temperature in the fetus, prevents infection in the uterus, and produces pregnancy support hormones. Normally, the baby's placenta will stick to the inner wall of the uterus, which is at the top or side of the uterus. The placenta is connected to the baby through the umbilical cord or umbilical cord. After a normal delivery, the mother's uterus will contract again and expel the placenta and other tissues through the vagina. This is also known as the third stage of labor. After the placenta is released, delivery is complete. Unfortunately, some women experience difficulties in the process.

Disorders of the Ari-Baby in Childbirth

Here are some disorders of the placenta that can occur in labor:

  • Placental retention

    • Difficulty removing the placenta after giving birth within a certain time limit, also called placental retention or retained placenta. The baby's placenta should come out of the uterus no more than 30 minutes after the baby is born. The placenta of a baby that is difficult to get out of the uterus can be part or whole. Placental retention can be divided into three, namely:

    -Placenta adherens


    The most common type of placental retention. The baby's placenta remains attached to the uterine wall because the contractions that occur are not strong enough to make the placenta loose.

    -Trapped placenta


    The baby's placenta is released from the uterine wall but cannot come out because the cervix closes first.

    -Placenta accrete


    The baby's placenta is not attached to the uterine wall, but rather to the uterine muscle. This type of placental retention can cause severe bleeding and complicate labor.

  • Placenta previa

    • This condition occurs when part or all of the placenta is covering the cervix. Placenta previa can cause severe bleeding during pregnancy or childbirth.

  • Abruptio placenta

    • Part or all of the placenta detaches from the uterine wall before delivery. As a result, babies in the womb lose oxygen and nutrients, while pregnant women can experience heavy bleeding or early labor.
Some factors that influence the condition of the placenta include the age of the pregnant woman, high blood pressure, blood clotting disorders, multiple pregnancies, the use of dangerous substances such as drugs and smoking during pregnancy, history of placental disorders in previous pregnancies, polyhydramnios, history of canal surgery urinary, and abdominal injury. Beware if the placenta is not fully released. If this happens, the symptoms that will be felt by the mother some time after in the form of heavy bleeding, stomach cramps, vaginal discharge coming out of the vagina, fever, and a small amount of breast milk. This condition is also at risk of causing infection in the mother, which can be life threatening.

Action Required

Various attempts can be made to facilitate the release of the placenta, including:

  • Oxytocin injection

    • If the placenta does not come out, then the doctor or midwife team will probably give an injection of oxytocin around the groin. This drug is given to make the uterus to contract strongly to remove the placenta, while preventing bleeding.

  • Issued manually

    • If the placenta is still not coming out, the doctor will try to remove it by hand. To reduce pain, the mother will be given spinal or epidural anesthesia, the effect of which covers the lower body area.

  • Breastfeed immediately after delivery

    • Breastfeeding is thought to stimulate uterine contractions so as to push the placenta out of the baby. This is because breastfeeding will stimulate the production of the natural oxytocin hormone in the mother's body. However, research has revealed that this effect is insignificant compared to oxytocin injections.
In addition, there is also the possibility that the doctor will perform surgery with general anesthesia, to take the placenta from the uterus. In this action, the mother will need intravenous antibiotics to prevent infection, and other drugs to make the uterus return to contract strongly after surgery is complete. After surgery, it is possible that the mother cannot immediately breastfeed the baby, due to the remaining anesthetic drugs in breast milk. If necessary, consult the stages of labor with your obstetrician since pregnancy so that you and your partner better understand about the placenta and the problems that can accompany it. Do not forget to check the content regularly so that all abnormalities can be detected early.

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