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RETAINED PLACENTARETAINED PLACENTA
 
 
Definition:Definition:
Retained placentaRetained placenta
is ais acondition in which the placentacondition in which the placentafails to be expelled within 30fails to be expelled within 30minutes after delivery of theminutes after delivery of thefetus. The main cause isfetus. The main cause is
defective decidual reactiondefective decidual reaction
 (decidua basalis) leading to(decidua basalis) leading toabsence of line of cleavageabsence of line of cleavagethrough the spongy layer.through the spongy layer.
 
 
AETEIOLOGY AETEIOLOGY 
Retention of separatedRetention of separatedplacenta:placenta:
 Atony of the uterus Atony of the uterus
with failure of with failure of expulsion of the separatedexpulsion of the separatedplacenta.placenta.
Contraction ringContraction ring
leading to hourleading to hourglass deformity of the uterus.glass deformity of the uterus.
Complete rupture of theComplete rupture of the
 
uterusuterus
 with passage of the placenta towith passage of the placenta tothe peritoneal cavity.the peritoneal cavity.
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