Retained placenta can lead to: September 2005
**Core Concept**
Retained placenta refers to the condition where a portion of the placenta remains in the uterus after delivery, which can lead to various complications. This condition is often associated with uterine atony, which is a failure of the uterus to contract effectively after delivery.
**Why the Correct Answer is Right**
The retained placenta can lead to hemorrhage due to the continued bleeding from the placental site. The uterine contractions that are necessary to stop bleeding are impaired, allowing the uterus to remain in a state of atony. This can lead to severe postpartum hemorrhage, which is a major cause of maternal morbidity and mortality.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not directly related to the complications of retained placenta. While infection is a potential complication of retained placenta, it is not the most direct consequence.
**Option B:** Coagulopathy is a potential complication of severe hemorrhage, but it is not a direct consequence of retained placenta.
**Option C:** Uterine rupture is a potential complication of uterine atony, but it is not the most direct consequence of retained placenta.
**Clinical Pearl / High-Yield Fact**
A retained placenta is often associated with uterine atony, which can be managed with uterotonic agents such as oxytocin. Early recognition and treatment of uterine atony can prevent severe postpartum hemorrhage.
**Correct Answer:** D. Hemorrhage.