Anaesthesia/analgesia for manual removal of retained placenta.

The Cochrane Database of Systematic Reviews
Kiattisak KongwattanakulPisake Lumbiganon

Abstract

As a retained placenta is a potential life-threatening obstetrical complication, effective and timely management is important. The estimated mortality rates from a retained placenta in developing countries range from 3% to 9%. One possible factor contributing to the high mortality rates is a delay in initiating manual removal of the placenta. Effective anaesthesia or analgesia during this procedure will provide adequate uterine relaxation and pain control, enabling it to be carried out effectively. To assess the effectiveness and safety of general, regional, and local anaesthesia or analgesia during manual removal of a retained placenta. We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov and the World Health Organization's International Clinical Trials Registry Platform to 30 September 2019, and reference lists of retrieved studies. We sought randomised controlled trials (RCTs), quasi-randomised controlled trials, and cluster-randomised trials that compared different methods of preoperative or intraoperative anaesthetic or analgesic, administered during the manual removal of a retained placenta. Two review authors independently assessed the study reports for inclusion, and risk of bias, extracte...Continue Reading

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