Action
- Perform ultrasound to identify retained placenta or products of conception
- Evacuate retained placenta or products of conception
- Obtain obstetric consult for surgical management
Background
Retained placenta or products of conception are typically identified on ultrasound. Inspection of the placenta for completeness is recommended after every delivery. Manual removal of any retained placenta is recommended if the patient is adequately anesthetized. If manual removal fails, other surgical procedures such as curettage are recommended. If placental tissue is not easily removed or is adherent to the uterine wall, placenta accreta should be suspected and would be managed with a separate surgical algorithm.
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