Beware, Great Bleeding in the Three Trimesters Could Be a Sign of Placental Solution

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The placenta is an important organ that develops during pregnancy and attaches to the uterine wall. This organ serves to provide oxygen and nutrients for the baby. However, there are medical conditions that cause the placenta to separate from the uterine wall and cause heavy bleeding to the mother. This is called placental abruption, sometimes also known as placental abruption. See the explanation below.

What is placental abruption?

Placental abruption or placental abruption is a medical condition that causes part or all of the placenta to separate from the uterine wall before giving birth. This can reduce or limit the supply of oxygen and nutrition of the baby, causing heavy bleeding to the mother.

This condition can occur suddenly and if left untreated it can endanger the life of the mother and her baby.

Symptoms of placental abruption to watch out for

This condition is most likely to occur in the third trimester, namely when the pregnancy reaches the age of 20 weeks or more, especially the last few weeks before pregnancy. Symptoms that appear include:

  • Vaginal bleeding (but not all pregnant women experience it)
  • Fetal heart rate abnormalities
  • Back pain
  • Contractions in the uterus that cause stomach pain
  • Infants do not move normally in the womb

If these symptoms appear, immediately do a further examination with the doctor. Because there are other conditions that cause uterine bleeding, namely placenta previa.

Causes of placental abruption

Reporting from WebMD, the causes of placental abruption are often unknown. However, women will be more at risk for this condition if:

  • Smoke
  • Using cocaine during pregnancy
  • Already more than 35 years old when pregnant
  • Have preeclampsia or hypertension
  • Containing twins
  • Have experienced this condition before
  • Having abnormalities or infections of the uterus (chorioamnionitis)
  • Having a wound or trauma to the abdomen due to a blow or accident
  • Leaking amniotic fluid at the beginning

Complications due to placental abruption

Placental abruption can cause problems and endanger the mother and baby. In the mother, this condition will cause:

  • Blood clotting problems (disseminated intravascular coagulation)
  • Shock from losing a lot of blood
  • Kidney failure or other organs due to blood loss
  • Uterine bleeding
  • The risk of relapse is 4 to 12 percent

While the baby will experience:

  • Impaired and limited growth because it does not get enough nutrition
  • Premature birth
  • Not getting enough oxygen
  • Stillbirth (stillborn)

How do doctors diagnose this condition?

Although it is difficult to diagnose, the doctor will ask questions related to the symptoms that are experienced, and it is advisable to do a physical examination, such as:

  • Ultrasound (ultraound), performed to detect placenta and fetal conditions.
  • Fetal heart monitoring, is done to assess the condition of the baby and check for uterine contractions that occur.
  • Blood test to determine the condition of anemic mother due to loss of blood

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What treatments can be done?

Treatment is done depending on the serious condition of the patient. When experiencing pain in the abdominal area; vaginal bleeding; shock symptoms such as fainting, weakness, nausea, and vomiting; or breath hunting, immediately do an examination.

Severity of the condition cannot be diagnosed only with symptoms that appear, because bleeding sometimes does not occur or only slightly exits. However, it can be a serious problem because blood is trapped between the placenta and the uterine wall.

The type of treatment performed depends on how severe the placenta is released, the age of the womb, and how much it affects the baby. If you experience mild conditions and the baby does not experience pressure, you can undergo regular home care throughout pregnancy.

However, for conditions that tend to be severe, you must be hospitalized so that your health and the womb can be closely monitored. Heavy bleeding requires you to get a blood transfusion to prevent anemia or organ failure due to lack of blood.

If the baby is born prematurely or is required to be born soon, a caesarean delivery will be performed and the baby must receive the care needed at the hospital.

How to prevent it?

You may not be able to prevent the occurrence of placental abruption. However, you can reduce certain risk factors. For example, by not using illegal drugs and not smoking while pregnant. Always use safety equipment in driving to avoid injury to the stomach.

Then, if you have high blood pressure, consult your health with a doctor to monitor your health. Make a pregnancy plan and consult a doctor to get advice and reduce the risk of placental abruption.

Beware, Great Bleeding in the Three Trimesters Could Be a Sign of Placental Solution
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