The shape of the placenta after an abortion in the second month

In cases of miscarriage that occur in the second month, each woman's experience may vary, as the miscarriage is often due to the egg not fully maturing. This lack of growth may lead to abruption of the placenta, which may have formed early in pregnancy.

From the uterine wall. However, the entire placenta may not exit the uterus, and sometimes medical intervention is necessary to remove the remaining parts.

Muscular placenta

The placenta is usually present inside the uterus during pregnancy. However, it may happen that parts of the placenta remain attached to the uterine muscle walls after miscarriages. This adhesion can cause heavy bleeding for a woman after a pregnancy loss.

Placenta accreta

This type of placenta is most common among women. Problems associated with placenta accreta are acceptable, as the uterus has weak muscle contractions. In these cases, the placenta may not be completely removed following a miscarriage, which leads to many health and physical complications for the woman inside the uterus.

Trapped placenta

During pregnancy, some women may face the challenge of having the placenta attach abnormally to the uterine wall. This condition is fairly common among pregnant women and occurs as a result of the cervical duct being blocked by the placenta, preventing it from completely separating and exiting during birth.

In some cases, parts of the placenta can remain inside the uterus even after a miscarriage, leading to complications that require medical intervention. This phenomenon is known as one of the most prominent health problems that a pregnant mother may face and requires careful medical follow-up to ensure her safety.

What is the remnants of the placenta in the uterus?

The placenta plays a vital role during pregnancy, as it surrounds the fetus inside the uterus and is attached to its wall. This structure transfers oxygen and nutrients from the mother's blood to the fetus.

It also removes waste and carbon dioxide from the fetus's blood to the mother's blood for disposal. After the baby is born, the placenta is expelled from the uterus within a period ranging from 5 to 30 minutes, and the method is either vaginally or through the cesarean section wound.

There are exceptional cases in which complications may occur that prevent the placenta from completely exiting the uterus, leading to parts of it being preserved inside it. This problem is known as “the remnants of the placenta in the uterus,” and it is one of the obstacles that may face childbirth and occurs in 2 to 3% of births.

Symptoms of placenta residue in the uterus after miscarriage

When a miscarriage occurs, a woman may experience painful cramps in the stomach and abdomen, and these cramps often indicate that part of the placenta is still inside the uterus. Also, vaginal secretions increase and have an unpleasant odor if remnants of the placenta remain.

In addition, a woman may feel extremely tired and generally weak after a miscarriage, which indicates the presence of parts of the gestational sac inside the uterus.

Other persistent symptoms after a miscarriage include persistent signs such as nausea and loss of appetite, which may reflect the continued presence of part of the placenta. If the uterus does not return to its normal size, it requires a medical examination to ascertain the cause of the difference.

It is also important to pay attention to symptoms such as severe bleeding that continues for several days, as this indicates the presence of placental remnants in the uterus. A woman may also suffer from back pain that prevents her from moving easily, which requires immediate medical evaluation to find out the cause and provide appropriate treatment.

What is the treatment for placental remnants after miscarriage?

There are many therapeutic methods to treat placental remnants following a miscarriage. The doctor may choose to wait until the remnants of the placenta are expelled naturally, and the woman is closely monitored during this period.
It is also possible to rely on medications that stimulate uterine contractions to expel the remaining tissue, but this type of treatment may be accompanied by side effects such as nausea, vomiting, pain, and diarrhea.

These medications reduce the possibility of intrauterine adhesions forming, but they may increase the risk of bleeding. The effectiveness of medications appears to a high degree (80-99%) if the pregnancy is in the thirteenth week or less. However, some cases may not respond to drug treatment, which requires surgical intervention.

Surgery is an option when other methods are ineffective or in cases of severe bleeding. During surgery, the doctor uses special machines to suction and scrape the placenta remnants from the uterus under general anesthesia. As with any surgical intervention, this procedure carries some risks and potential complications.

Procedures after treatment of placental remnants after abortion

It is recommended to consult a doctor before starting to take vitamins and any nutritional supplements to ensure that they are compatible with the person’s general health condition.

It is important to adopt a complete diet that includes appropriate amounts of vitamin C and iron, and to include various sources of protein, such as meat and vegetables, to promote general health.

In cases of pain, over-the-counter painkillers such as paracetamol, naproxen and acetaminophen can be taken to relieve spasms that may appear after experiencing stress.

It is necessary to be careful not to take several painkillers together without consulting a doctor to avoid any serious drug interactions.

If you do not want to have children during the current period, you must talk to your doctor about the different methods of birth control and choose the most appropriate one. It is preferable for this to be done before the start of a new menstrual cycle to ensure complete effectiveness.