Under Discussion Placenta, Placental Praevia

Facts

  1. When the placenta is under discussion, covers the whole or partially the inner uterus mouth as the child passes during childbirth
  2. It is seen in approximately 1 out of every 200 births. Previous Cesarean and smoking increases the risk for the condition
  3. Under discussion placenta will be diagnosed by ultrasound scan at 20 weeks pregnant
  4. In these cases, the study will be repeated in week 34, where the placenta usually has moved away from the uterine mouth
  5. If the placenta is under discussion by the due date, the baby is born by Cesarean section

What is under discussion placenta?

Under discussion is a condition in which the placenta placenta (placenta) covers totally or partially the inner uterus mouth (orificium internum), as the child must pass by birth. The State will be almost always discovered by routine ultrasound scanning in early pregnancy that will be offered to all pregnant women.

At the routine ultrasound examination at 18-20. week of gestation is the placenta under discussion with 5-6% of the pregnant women, while less 0.5% under discussion have placenta by due date. This is because the uterus grows during pregnancy and therefore pulls the placenta with it up and away from the cervix.

Typical symptoms of sudden bleeding from the placenta under discussion is the vagina without pain or contractions. The tendency to bleeding increases, the more you approach the compliance time. This is because the lower part of the uterus expands.

Haemorrhages can be triggered by intercourse or contractions in the uterus. Bleeding may also occur for the first time during labor.

How frequent is under discussion placenta?
The condition is seen in approximately 1 out of every 200 births.

What is due under discussion placenta?
Under discussion placenta may be due to the fact that the fertilized egg gets stuck too far down in the womb. Another reason may be that the placenta is unusually large–as by multiple pregnancies.

The risk of developing placenta increases under discussion, if you have given birth to many times in the past. The risk is also increased by high age, previous Cesarean, assisted fertilization, and if you’ve had placenta under discussion before.

What symptoms you should pay particular attention to?
One suspects the placenta under discussion by bleeding late in pregnancy, particularly if pregnant women don’t have pain. The diagnosis is confirmed by means of ultrasound. More often than not is the condition known in early pregnancy by a routine ultrasound scan in 18.-20. week of gestation.

If there are symptoms of this condition (bleeding without pain), you should contact your doctor immediately. You will then be driven to the hospital the mhp. further investigation into the cause of the bleeding. The reason why you need to be examined at the hospital, is that the bleeding may increase during the investigation. Ultrasound is the main study.

If there will be detected by routine investigation in placenta under discussion 18.-20. week of gestation, there is a need for a new study in 34 weeks pregnant, to see if the placenta is still under discussion.

What treatment is there?
If the placenta under discussion will be detected by routine ultrasound scanning in 17-23. weeks pregnant, you must not take any precautions. New ultrasound will be done around 34 weeks pregnant. If the placenta is still under discussion at this point, you will get the message about being a little more cautious, among other things, you must be careful with or completely avoid hard physical work, exercise and sexual intercourse for the rest of the pregnancy. Because the problem of the child first and foremost due to the risk of premature birth, is the main strategy to prolong the pregnancy until the fetal lungs are mature. Ultrasound is repeated often around 36 weeks pregnant because placenta can pull up and free for the end right up to the birth. You do not need hospitalization, but can be at home if you don’t bleed, and you live close to a hospital with food section, so you can quickly get to the hospital, if you begin to bleed.

If the placenta remains under discussion, it may be currently both to give you vehæmmende funds-if birth threatens to start early and medication to speed up the baby’s lung maturation.

If the placenta covers the opening in the cervix completely, the child is born by Caesarean. If the placenta partially covers the opening, some will be able to give birth on normally.

At major bleeding must be acute Cesarean due to danger to both the mother’s and child’s life.

How is long-term prospects?
In most cases, the prognosis good, whether you give birth normally or by Cesarean section. Seat lease and cross-rent seems somewhat more frequently under discussion by the placenta, because the baby’s head can’t penetrate down into the pelvis. Severe and life-threatening complications in the mother are rare, but there is increased risk of heavy bleeding in connection with birth/Emperor average. The mortality of the fetus is found to be slightly increased. A woman who has had placenta praevia, has 4-8% risk of the same complication in later pregnancies.

How do I avoid getting or worsen under discussion placenta?
Previous Cesarean and smoking increases the risk of placenta under discussion.

Gallery

BGDA Practical – Placenta and Fetal Membranes

BGDA Practical - Placenta and Fetal Membranes

Source: embryology.med.unsw.edu.au

Late-Pregnancy Bleeding and Rupture of the Marginal Sinus …

Late-Pregnancy Bleeding and Rupture of the Marginal Sinus ...

Source: www.nejm.org

Late-Pregnancy Bleeding and Rupture of the Marginal Sinus …

Late-Pregnancy Bleeding and Rupture of the Marginal Sinus ...

Source: www.nejm.org