How to prevent placental abruption
In order to prevent placental abruption, it is necessary to know what it is and why it occurs … and always follow the doctor’s instructions!
If you have already had placental abruption in other pregnancies, you will know the fear that causes this to happen because your pregnancy may be in danger and you may even have the loss of it. Detachment of placenta is used when part or all of the placenta separates from the uterus after 20 weeks of gestation. Severe placental abruption is a major risk factor for fetal death or preterm delivery.
It is also known as premature separation of the placenta, ablatio placenta, abruptio placentae, or placental abruption. The condition occurs in 1% of all pregnancies, most commonly in the third trimester .
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SYMPTOMS
Symptoms of placental abruption may include vaginal bleeding, abdominal tenderness or pain, and frequent contractions. Any vaginal bleeding in the second or third trimester should warrant a call to a healthcare professional. However, placental abruption doesn’t always cause vaginal bleeding, so you should always go to the doctor if you suspect that you may be experiencing placental abruption.
RISK FACTOR’S
Trauma to the abdomen in late pregnancy and infections in the uterus can cause placental abruption, but the condition can also occur without warning. Known risk factors for placental abruption include:
- Smoke
- Cocaine use during pregnancy
- Be over 35 years old
- Having a multiple pregnancy
- Have hypertension
- Have a blood clotting disorder
- Placental abruption in previous pregnancy
- Premature rupture of membranes
TREATMENT FOR PLACENTAL ABRUPTION
In most cases of placental abruption, the placenta separates only partially from the uterus instead of being completely separated. When a greater percentage of the placenta separates, the risk is greater than when the separation involves only a small part of the placenta . The chances of stillbirth are dramatically increased in cases of placental abruption in which more than 50% of the placenta is separated.
When a woman has symptoms of placental abruption, the healthcare professional will usually perform a physical exam and ultrasound. If doctors suspect a severe abruption of the placenta, the usual treatment is to deliver the baby, by caesarean section in some cases.
Unfortunately, delivery does not always mean that the baby survives. If a severe abruption occurs before the baby is saved , such as before 24 weeks of pregnancy, doctors may not be able to save the baby . Mothers who have suffered a severe placental abruption can experience great blood loss, and babies who survive childbirth can face complications due to prematurity and lack of oxygen.
When placental abruption is less severe and does not pose an immediate risk to the mother or baby, doctors may hospitalize the mother and keep her on bed rest with close monitoring. This can increase the chances that the baby will survive without serious health complications.
Sometimes the bleeding stops and the woman can go home to enjoy the rest of the pregnancy, but some may need to stay in the hospital for better follow-up. If doctors expect the baby to be born between 24 and 34 weeks , they may prescribe steroids to help the baby’s lungs mature more quickly to improve the chances of survival.
Women who have had placental abruption in a previous pregnancy can be considered high risk in all future pregnancies, since the condition recurs 10% of the time. If you are at risk of placental abruption, strictly follow all the recommendations of your doctor, because it can save your pregnancy.
Dr. Tabriella Perivolaris, Sara's mother and fan of fashion, beauty, motherhood, among others, about the female universe. Since 2018 she has been working as a copywriter, always bringing to her articles a little of her experience and experience as a mother and woman.