Premature placental abruption: what you need to know? Video
Premature detachment of the placenta threatens the health and life of not only the unborn baby, but also his mother. However, you should not take this diagnosis as a verdict. With the right, timely treatment, the preservation of pregnancy and the birth of a healthy child are still possible.
Premature detachment of the placenta
Placental abruption is one of the harshest diagnoses for a pregnant woman. It usually manifests itself with sudden bloody discharge, and if you do not immediately seek medical help, the consequences can be more than sad. The life of both – the mother and her unborn baby – is in jeopardy, so it is so important to immediately consult a doctor at the first signs of placental detachment.
The placenta is formed inside the uterine cavity of a pregnant woman, and its purpose is to supply the baby with all the substances he needs for growth and development.
Reasons for placental abruption
The reasons why this condition occurs are different. Sometimes this happens as a result of trauma to the pregnant woman in the abdomen. An unexpected bump or fall can damage the blood vessels that line up with the placenta. Sometimes a hematoma grows at the site of the impact, especially dangerous for a short time. In most cases, it is she who provokes early placental abruption. In a later period, detachment can be caused, for example, by impending preeclampsia, early aging of the placenta, or a sharp turn of an already large child from breech presentation to head presentation.
The main threat of detachment of the placenta is that the supply of the fetus with vital substances is disrupted, and the increasing bleeding, if not stopped in time, becomes already dangerous for the mother.
It should be remembered that if the detachment has already begun, then no amount of self-medication will help. It is necessary to contact the nearest medical aid center – hospital or maternity hospital as soon as possible. The doctors’ actions will completely depend on the scale of the threat that has arisen.
Even minor bleeding should be treated with caution. It is possible that most of the blood does not flow out, but accumulates in the uterine cavity in the form of a hematoma that threatens the child’s life.
In the short term, if the bleeding is small, so that the situation normalizes, it may well be sufficient to provide the pregnant woman with complete rest with medication. As a rule, this is quite enough to keep the pregnancy in the early stages.
For periods from 24 to 34 weeks, if doctors see that it is no longer possible to maintain a pregnancy, they can try to drag out a little time by injecting the mother with a special drug that accelerates the maturation of the baby’s lungs, and when it is no longer possible to wait, they will get the baby by caesarean section. Let him be premature, but with the modern level of medicine, he will have many chances at his disposal for a healthy, fulfilling life.
Starting from the 35th week, the late placental abruption that occurs becomes an indicator for immediate delivery by cesarean section
By this age, the child is already strong enough to start life outside the womb, and there is no need to risk, waiting for the consequences of detachment.
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