What are the symptoms of retained placental membranes after childbirth?

Aug 24, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
In general, retained placental membranes after childbirth may present symptoms such as prolonged vaginal bleeding, abdominal pain, increased vaginal discharge, foul-smelling (fishy odor) vaginal discharge, and fever. It is important to note that if any of these symptoms occur, prompt medical attention is recommended. Under a doctor's guidance, standardized treatment should be followed, which may include medications such as Yimucao Granules or Xinshenghua Granules as prescribed.

Under normal circumstances, retained fetal membranes after childbirth may present symptoms such as prolonged vaginal bleeding, abdominal pain, increased vaginal discharge, foul-smelling vaginal discharge, and fever. Specific details are as follows:

1. Prolonged vaginal bleeding: If placental or fetal membrane tissue is not completely expelled, the endometrium cannot heal and recover properly, which may lead to prolonged vaginal bleeding. Prolonged postpartum bleeding lasting more than six weeks or excessive blood loss should raise concern.

2. Abdominal pain: Retained fetal membranes may impair uterine contraction, causing abdominal pain. This pain may be persistent and resemble menstrual cramps or postpartum pelvic pain.

3. Increased vaginal discharge: Persistent inflammation of the endometrium due to retained fetal membranes often results in increased vaginal discharge. The discharge may appear yellow, white, or contain blood streaks.

4. Foul-smelling vaginal discharge: Chronic endometritis caused by retained fetal membranes may lead to abnormal odor in vaginal discharge, typically a fishy or foul smell.

5. Fever: Endometrial infection resulting from retained fetal membranes may cause elevated body temperature and fever.

It is important to note that if any of the above symptoms occur, prompt medical attention is recommended. Treatment should be conducted under a doctor's guidance and may include medications such as Yimucao Granules or Xinshenghua Granules as prescribed. In some cases, a dilation and curettage (D&C) procedure may be necessary to promote recovery.

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