Doula

Category - Postpartum

The placenta is typically delivered soon after the birth of the baby. The placenta will be checked to be sure it is intact, because retained fragments of the placenta can cause all of the following EXCEPT:
  1. Extreme pain
  2. Inhibition of uterine involution
  3. Infection
  4. Delayed lactogenesis
Explanation
Answer: A - While some women have cramping with a retained placenta, most women do not feel anything. If a piece of the placenta remains attached to the uterine wall, the hormones of pregnancy will continue to be released, tricking the body into thinking the woman is still carrying a baby. So, not only will the physical piece of placenta get in the way of a shrinking uterus, the hormones will tell the uterus not to involute. Retained placental fragments can also cause infection. The pregnancy hormones put out even by a small piece of placenta can keep the body from releasing the hormones necessary for milk production to begin, thus delaying a full milk supply, even if baby is nursing well.
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