PREGNANCY-BIRTH Messages for May, 1999: Re: tained placental fragments

Re: tained placental fragments

From: William F. von Almen, II, MD (anonymous@obgyn.net)
Sun, 30 May 1999 09:52:06 -0500 (CDT)

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In reply to: Robin: "retained placental fragments"

At Thu, 27 May 1999, Robin wrote: >
>Can anyone give me some more information on the above subject? I had my
>baby 4 weeks ago, and although everything is fine now I'm pretty sure I
>passed a placental fragment at 3 weeks 4 days postpartum. I bled
>normally for a week, then my flow decreased markedly, only to resume a
>couple days later. I then bled dark red blood in consistent amounts
>until around the day I passed the tissue, when my bleeding increased and
>I had some small clots. Then I passed the chunk of tissue. I had about
>an hour of crampiness afterwards and then my flow changed from dark red
>to pinkish red and now, 5 days later my flow is yellowish, normal for
>the end.
>I examined the tissue quite thoroughly and it did not appear to be a
>blood clot. The two sides were different in appearance, and there
>seemed to be veins running through one side, while the other side seemed
>to be dark clotted blood.
>If this was a placental fragment, could its retention affect the
>establishment of my milk supply? I seem to have less milk this time
>around compared to when I had my other children.
>
>Thanks,
>Robin

Robin; This could have been a succenturiate lobe of the placenta (sometimes the placenta has a lobe or cotyledon separated from the rest of the placenta, and may not come out with the rest of the placenta, but will eventually separate and pass several days to weeks later) or a decidual cast (sloughing of chunks of the pregnancy stimulated lining of the uterus). Either way, you have cured yourself. As far as nursing, I am aware of no reationship between this and decreased milk supply.

-- William F. von Almen, II, MD, FACOG Editorial Board, OB/GYN.NET Pregnancy and Birth New Orleans, La.

The above comments are for educational purposes only.

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