In addition, the retained placenta could be considered as a diagnosis if the patient had a hemorrhage preceding the delivery of the placenta. Retained placenta is a condition that is clinically diagnosed when the placenta has failed to deliver spontaneously within 18 to 60 minutes after birth. Imaging revealed an intra-cavity soft tissue mass measuring 6.5 cm. Hysteroscopy with dilation and curettage was performed and showed fibrous bands covering a soft mass of products of conception, which was then evacuated. Two days later, the patient started to have spikes of fever. Both cavities were evacuated of products of conception. Two days later, the patient developed a fever and elevated inflammatory markers. Ultrasound-guided evacuation and curettage were done, and two endometrial cavities were noted. The retained placenta was removed manually under general anesthesia. A 2.5 kg infant was delivered by normal vaginal delivery, which was followed by active management of the third stage of labor. This patient, a 34-year-old pregnant female, was admitted at 32 weeks of gestation for a case of preterm labor with preterm premature rupture of membranes and bacterial vaginosis. In this paper, we report a patient with a delivery complicated by a retained placenta and postpartum fever. The retained placenta is a risk factor for postpartum fever. Retained placenta is clinically diagnosed when the placenta has failed to deliver within 18 to 60 minutes after birth.
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