Placenta retention

　　Diseases such as uterine malformation and uterine fibroids can all lead to partial tissue residuals in the uterine cavity. In addition, inadequate skills of the surgeon can also cause this disease, so clinical doctors should improve their knowledge and operational skills.

　　In addition to clinical manifestations, placenta retention can also cause complications. The main complications of this disease are unclean lochia after delivery, postpartum hemorrhage, and postpartum infection, which should be highly emphasized by clinical doctors and patients.

　　By observing the nature, smell, and duration of lochia, the condition of uterine recovery and the presence of infection can be understood. If the bloody lochia lasts for more than 2 weeks, with a large amount, it often indicates poor recovery of the placental attachment site or the presence of placental and amnion residuals. If the lochia is not clean after one month of delivery, accompanied by a foul smell or putrid smell, or accompanied by abdominal pain and fever, it may be an infection of the vagina, uterus, fallopian tubes, or ovaries.

　　Attention should be paid to the active treatment of various pregnancy diseases before delivery, such as pregnancy-induced hypertension syndrome, anemia, vaginitis, and so on. After delivery, carefully check whether the placenta and amnion are completely removed, and timely treatment should be given if there are any residuals. If the placenta is incomplete or most of the amnion is retained, it is necessary to remove it manually or with instruments under strict sterilization to prevent postpartum hemorrhage or infection. If only a small part of the amnion is retained, it can be naturally expelled by using uterine contraction agents after delivery.

　　The diet for patients with placental retention should be light, with more vegetables and fruits, reasonable dietary搭配, and attention to adequate nutrition. Use vegetable oils, and often use methods such as boiling, steaming, and cold dishes for cooking. Avoid high-cholesterol foods such as fatty meat, internal organs, fish roe, butter, etc. Avoid smoking and drinking, and avoid spicy and cold foods. Avoid gas-producing foods before surgery, such as celery, cabbage, rapeseed, radish, potato, sweet potato, soybean, broad bean, etc.; avoid greasy, rough, and fishy foods after surgery, such as fatty meat, animal internal organs, brown rice, dog meat, lamb, mutton, beef, smoked fish, etc.

　　In the treatment of this disease, traditional Chinese medicine mainly has the following two formulas.

　　Prescription One: 18 grams of bupleurum, 25 grams of Poria cocos, 10 grams of angelica sinensis, 10 grams of ligusticum chuanxiong, 10 grams of persica, 5 grams of dried ginger, 25 grams of motherwort, 10 grams of ginger, 5 grams of licorice, 12 grams of red peony, 12 grams of jujube, decocted for oral administration.

　　Function: Regulate qi and dispel cold, harmonize the冲任, activate blood circulation and remove blood stasis, warm the uterus and stop bleeding.

　　Treatment Principle: The lochia does not stop. Symptoms include lochia dripping, sticky and not smooth, coming and stopping at times, slight abdominal distension and pain.

　　Prescription Two: 12 grams of raw earth, 12 grams of processed earth, 12 grams of white peony, 15 grams of marrubium, 20 grams of yam, 12 grams of forsythia, 10 grams of prepared rhizoma cyperi, 6 grams of costus, 20 grams of ligustrum lucidum, 24 grams of selaginella, 15 grams of cuttlefish bone, 12 grams of rubia cordifolia, 20 grams of melon seeds, 3 grams of amomum, decocted for oral administration.

　　Function: Nourish yin and clear heat, regulate qi and stop bleeding.

　　Treatment Principle: Caused by blood heat and qi stagnation, the lochia does not stop after childbirth. Symptoms include abdominal distension, lochia dripping continuously, yellow urine, dry mouth, red tongue without fur, wiry and rapid pulse.