A member asked:

Why do doctors examine placenta after birth?

15 doctors weighed in across 7 answers
Dr. Stephen Scarantino answered

Specializes in Obstetrics and Gynecology

Check if it's intact: An obstetrician would examine the placenta or "afterbirth" for a few reasons, but mainly to ascertain that all of the placenta came out; that it is intact/whole and no placental pieces are still inside of the uterus.

Answered 12/7/2015

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Dr. Pam Yoder answered

Make sure all is out: Retained placental tissue can cause problems such as bleeding and infection. Therefore, OB providers should check every placenta to ensure that it has been delivered intact or all pieces of it have come out of the uterus. Occasionally an OB will need to insert a hand up into the uterus or even scrape with an instrument to remove any remaining tissue. That mainly occurs if a very premature delivery.

Answered 4/4/2019

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Placental examinatio: Placentas are examined for 2 reasons; 1. Each cord should have 2 arteries and a single vein, an abnormal vessel component suggests fetal abnormality most frequently the kidneys and 2. To ascertain whether or not one of the cotyledons make are missing suggesting retained tissue in the uterus.

Answered 7/1/2013

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Dr. Kevin O'neil answered

Specializes in Urogynecology

Check if abnormal: The placenta gets examined to see if it has deliveredt intact, if the umbilical cord has the normal 3 blood vessels and to see if there are any gross abnormalities that would warrant having a pathologist examine it.

Answered 5/17/2012

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Issues with labor: If there was an infection with labor, meconium, abruption, etc examining the placenta can help confirm a diagnosis.

Answered 12/30/2017

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Placenta exam: At the time of delivery, we want to confirm that the placenta is intact and there are no missing pieces that could still be inside the uterus that may be a source of infection or bleeding if not removed. Other reasons to examine the placenta include meconium staining, twin gestation, abnormal cord insertion, bleeding during labor suggestive of possible abruption, as well as others.

Answered 11/7/2012

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Dr. Nikolaos Zacharias answered

Specializes in Maternal-Fetal Medicine

Many reasons.: The placental examination is essential to assure complete delivery, assess anomalies of cord insertion, exclude paraplacenta, determine chorionicity in multifetal pregnancies, check for infection, abruption, infarction, tumors, preeclampsia changes.

Answered 2/1/2016

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