Analysis of the Clinical Profile and Fate of Retained Placenta in Comilla Medical College Hospital, Comilla

Open Access

Abstract

Background: Retained placenta is a potentially life-threatening condition that significantly contributes to postpartum haemorrhage (PPH) and maternal mortality, especially in women from disadvantaged socioeconomic backgrounds. Identifying predisposing factors and ensuring timely management during antenatal care and the third stage of labour are crucial to reducing morbidity and improving maternal outcomes. Objective: The aim of the study was to determine the clinical characteristics and outcomes of patients with retained placenta. Methods & Materials: This cross-sectional study at the Department of Obstetrics and Gynaecology, Comilla Medical College & Hospital (Jan–Jun 2013) included 100 vaginal deliveries with retained placenta. Cases ≥28 weeks’ gestation were included, while caesarean deliveries and <28 weeks were excluded. After informed consent, clinical, demographic, obstetric, management, and outcome data were collected using a structured form. Ethical approval was obtained, and data were analyzed with SPSS 15 using descriptive statistics. Results: Among 3,126 obstetric admissions, 107 (3.42%) had retained placenta. Of 100 patients, most were 21–30 years (62%), primarily educated (39%), housewives (92%), para 2–4 (60%), and 79% unbooked. Deliveries were mostly home (74%) by untrained dais (62%). Common complications were PPH (52%) and genital trauma (30%). Manual removal was needed in 91%, transfusion in 72%. Outcomes: recovery 72%, severe anaemia 16%, infection 6%, renal failure 2%, maternal death 4%. Conclusion: Retained placenta remains a serious obstetric complication, with outcomes largely dependent on timely hospital care, skilled delivery management, and appropriate interventions.