Vaginal Expulsion of a Placental Polyp With Ergometrine

Placental polyps are thought to be derived from placental remnants after conception. Placental polyps are managed primarily by surgery, including hysterectomy and hysteroscopic resection. There is no specific recommendation regarding the optimal treatment to preserve fecundity. A 27-year-old primigravida presented at 38 weeks gestation and underwent a vaginal delivery. This delivery was complicated by massive hemorrhage due to uterine atony. Four weeks later the patient had a vaginal expulsion of a placental polyp after oral administration of ergometrine. A conservative surgical treatment under general anesthesia involved manual excision of the polyp and hysteroscopic hemostasis. Placental polyps are rare entities encountered in obstetric care; however, postpartum hemorrhage can be associated with this pathologic condition. Uterine stimulants and hysteroscopy may be useful for preserving fertility.