Management of the third stage of labor in second-trimester deliveries: How long is too long?

Second-trimester abortions remain an essential component in the comprehensive care of women. Studies of medical abortions performed with misoprostol have suggested that retainment of the placenta is the most common pregnancy-related complication (21%). Despite the risk of the retained placenta during the third stage of labor, no evidence-based guidelines exist for healthcare providers regarding the acceptable length of expectant management.

Source: Behrens JA, Greer DM, Kram JJF, Schmit E, Forgie MM, Salvo NP, Management of the third stage of labor in second-trimester deliveries: How long is too long? European Journal of Obstetrics and Gynecology (2018).