Placental abruption Causes and how to avoid them
This detachment is most common in the third trimester of pregnancy although it can occur any time after the 20th week of pregnancy. This type of condition increases the risk of the baby having problems growing inside the uterus if the interruption is small and goes unnoticed being born prematurely or even in extreme cases not surviving.
What are the causes?
Determining the exact cause of premature placental abruption can be difficult. Direct causes are rare, but include. Sudden loss of uterine volume may occur with rapid loss of amniotic fluid or after the birth of the first twin.
Risk factors include:
Chronic hypertension or gestational hypertension preeclampsia approximately half of the placental placements leading to infant death are related to high blood pressure.
- Increased uterine distension may occur in multiple pregnancies or excess amniotic fluid.
- Number of previous bleeding during pregnancy
- Premature rupture of the amniotic sac premature rupture of membranes
- Uterine fibroids
- Pregnancy of multiple twins shedding is more common shortly after the birth of the first baby.
- Trauma in the abdominal area
- Use of cigarettes or other drugs
- Older mothers, as the risk increases with age.
- Some kind of anatomical abnormality of the uterus
- Premature elimination of the placenta, which includes any separation of the placenta before birth, occurs in approximately one in 150 births. The severe form, can cause the death of the baby, only occurs in one of every 800-1600 births.
What are the symptoms of this problem?
- Abdominal pain
- Back pain
- Frequent uterine contractions
- Uterine contractions without relaxation between contractions
Vaginal bleeding in minor bleeding it may happen that the blood is retained in the uterus behind the placenta and is not perceived.
In the event that placental abruption occurs near the probable date of delivery delivery is attempted through a cesarean section to avoid further release of the placenta.
In cases where detachment from the baby is small and premature, the doctor will probably want to wait a little longer. In such cases, vigilance will be strict as well as the rest and the probability of hospitalization and the use of the medicine is great.
When the problem occurs in pregnancies before 20 weeks, what actually occurs is a collection of blood between the wall of the uterus and the gestational sac and doctors refer to this problem as the subnormal hematoma not a premature detachment of the placenta. However, to avoid further complications doctors recommend rest vaginal progesterone use and sexual abstinence. Therefore, the chances of the problem disappearing are great and there is no danger to the pregnant woman and the fetus.
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