European Journal of Cardiovascular Medicine

The original advice was based on research by Coombs et al. and was a loose 30-minute guideline. The researchers found that the third stage had a log-normal distribution with a mean duration of 6.8 minutes and that only 3.3% of births had a stage lasting more than 30 minutes. The authors calculated that throughout this period, the incidence of PPH, transfusion, dilatation, and curettage remained constant and began to increase after 30 minutes for placentas delivered both mechanically and spontaneously. This is the moment to start MROP, according to Coombs et al.4 This study received additional funding from Urner F & et al. After learning that 3% of newborns experienced problems when the third stage extended more than half an hour, Material and Mothed The baby was born, and the placenta retention cutoff time was thirty minutes later. 164 people who had retained placentas or had been referred for RP were included in this research. The following details were meticulously recorded: age, socioeconomic status, booking status, geographic distribution (rural or urban), gestational age, gravida status, time and place of delivery, mode of administration and duration of use of uterotonic, history of any previous uterine surgeries or procedures performed, history of any previous procedures, and other relevant information. Result In this study, the majority of patients with retained placentas (70.12) and those with low socioeconomic level (73.8%) come from rural areas. This study was similar to one by DAS SR, which found that 71.17% of participants had poor socioeconomic level.  As mothers age, the number of instances with retained placenta increases. In this study, the age group of 31–35 years accounted for 39.02% of the retained placenta instances, whereas the age group of 36–40 years accounted for 21.96%. The group of people aged 26 to 30 made up 31.70%. This was similar to a research by Rizwan N. that found that patients between the ages of 36 and 40 had 13.3% fewer instances than women between the ages of 26 and 30 (36.7%). Conclusion PPH was the most frequent problem, which can be attributed to mishandling the third stage of labour, which results in myometrial exhaustion and the inability to contract, and prolonging the second stage of labour. An abnormally attached placenta can also result in PPH and RP under PAS circumstances. By factors including oxidative stress, chronic inflammation, and impaired placentation maturation, newborn problems like stillbirth and IUGR can be linked to RP. Although the anterior placenta, umbilical cord insertion, and ART techniques have all been proposed as risk factors for RP in previous research, there was no meaningful correlation between these variables and RP in our investigation. For this reason, further studies are required to gather more information and improve comprehension of the recently suggested risk variables.