Group Name:

Alfia Yunita Fatrihana

Arias Vini
Dewina
Indria Cunsu Nopitayanti
Mikha Yulensi
Ruste
Sri Ayu Maya Sofa
Vopy
Yunie
a. Understanding
Rest placenta is lagging the rest of the placenta
and membrane in uterine cavity. Rest of the placenta is
lagging part of the placenta in the uterine that can
cause postpartum hemorrhage postpartum
hemorrhage primary or secondary.

b. Etiology
 Expulsion of the placenta are not careful
 One leader of the third stage: too hasty to speed up the
birth of the placenta
As for the signs and symptoms of the rest of the placenta,
among others:
1. A part of the placenta (one or more lobes) left behind, the
uterine can not contract effectively and this situation can
cause bleeding. but may, in some circumstances there is
no bleeding with retained placenta. Retainer part of the
placenta (placenta rest)
2. The general condition is weak
3. The increase in pulse rate
4. Decreased blood pressure
5. Rapid breathing
6. Consciousness disorders (shock)
7. The patient dizzy and restless
8. Seemed the rest of the placenta that have not come out
 After the baby is born, the uterine spontaneously contract.
Contraction and retraction of the muscles to complete this process
by the end of labor. After contracting, the myometrium cells is not
relaxation, but become shorter and thicker. With a contraction which
lasted continuously, myometrium progressively thicken and shrink
uterine cavity so that the size is also smaller. Along sudden
diminution uterine sags placental attachment area.
When backers placental tissue to contract the placenta can
not be contracted begin detached from the uterine wall. The
resulting stress causes layered and decidua spongiosa loose to give
way, and the separation of the placenta that place. Blood vessels in
the uterus are located between muscle fibers of the myometrium
crossing. Contraction of muscle fibers is pressing the blood vessels
and muscle retraction this resulted pinched blood vessels and stop
bleeding.
If the diagnosis of retained placenta is upheld then the midwife must refrain
from spending the rest of the placenta manually or digitally, dg steps as
follows:

Repair the general state of the mother (post infusion)

Empty bladder
Wearing sterile gloves
Disinfection of the external genitalia
The external genitalia widen left hand, right hand inserted through the
cervix obstetric
do exploration in the uterine cavity to remove the retained placenta
done digitally placental expenditure
Once the placenta is out of all injections uterus tonika
Give antibiotics overcome or prevent infection
Antibiotic ampicillin 19 IV initial dose followed by 3 × 1 gram.oral
combined with metronidazole 1 g suppository followed by 3 × 500 mg orally.
Observation of vital signs and bleeding
Antibiotics should be given in a dose of prevention.