NAVLE Reproductive

Canine Retained Placenta Study Guide

Retained placenta (also called retained afterbirth or retained fetal membranes) occurs when the placenta is not expelled from the uterus within the expected timeframe following parturition.

Overview and Clinical Importance

Retained placenta (also called retained afterbirth or retained fetal membranes) occurs when the placenta is not expelled from the uterus within the expected timeframe following parturition. In dogs, the placenta should be expelled within 15 minutes of each puppy's delivery. Retained placental tissue can rapidly become a nidus for bacterial infection, potentially leading to metritis, sepsis, and death if not promptly recognized and treated.

This condition is relatively uncommon in dogs compared to large animal species but carries significant morbidity when it occurs. Retained placenta is particularly important on the NAVLE because it tests your understanding of canine reproductive physiology, postpartum complications, and emergency medicine principles.

High-YieldOn the NAVLE, retained placenta questions often present as a postpartum bitch with dark green or foul-smelling vaginal discharge persisting beyond 24 hours. The green color is due to uteroverdin (a dehydrogenated form of bilirubin) from the marginal hematomas of the canine zonary placenta.
Zone Description and Function
Labyrinth Zone Primary exchange region; composed of trophoblastic lamellae (cytotrophoblasts and syncytiotrophoblasts) covering maternal vessels; fetal vessels deeply indent the trophoblasts
Junctional Zone Transition area between labyrinth and glandular zones; contains tall columnar trophoblasts that invade into endometrial gland cavities; the deep portion is called the sponge zone
Glandular Zone Region of endometrial glands; provides histotrophic nutrition during early gestation and continues supporting placental function
Marginal Hematomas Located at each longitudinal edge of the zonary placenta; pools of maternal blood where specialized trophoblast cells (hematophagous) absorb iron and nutrients; source of green uteroverdin pigment

Canine Placental Anatomy and Physiology

Placental Classification

The canine placenta is classified as zonary (by gross morphology), lamellar (by internal architecture), and endotheliochorial (by histological barrier). The zonary placenta forms a circumferential band around the equator of the chorionic sac, creating an intimate attachment to the endometrium at this region.

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