How to determine the placental abruption?
In order to provide the pregnant woman with the necessary assistance in time, every woman, being in a position, should know the main signs of placental peeling.
So, with a mild degree of disturbance, there are no symptoms, and pregnant women will only find out about this if they have a planned ultrasound. Then it is taken for special control, and in the presence of aggravating factors (large fetus, multiple pregnancy), hospitalized.
For the average severity of exfoliation, symptoms are as follows:
- the appearance of sharp pains in the lower abdomen;
- an increase in the tone of the uterine myometrium (the abdomen becomes hard);
- the appearance of blood from the vagina in a small volume.
As a rule, the last sign and makes a woman consult a doctor.
With the development of a severe form of exfoliation, the following attributes are added to the above characteristics:
- nausea;
- vomiting;
- dizziness;
- loss of consciousness;
- tachycardia;
- hypertension of uterine myometrium;
- heavy bleeding.
In this case, the type of bleeding often depends on the location of the placenta. If it is attached to the back wall of the uterus, then the blood does not exude outside, - there is internal bleeding, which the woman can not independently diagnose.
At the fetus at the same time there is oxygen starvation, as evidenced by an increase in the number of cardiac contractions in CTG.
Because of what can detachment of the placenta occur?
The causes of detachment of the placenta from the uterine wall during pregnancy are quite numerous, which only makes it difficult to correctly diagnose the disorder. Most often, the aggravating factors leading to the development of detachment are:
- the age of the pregnant woman;
- a large number of births;
- inflammatory processes in the reproductive organs;
- increased blood pressure;
- gestosis;
- pathology of the uterus or placenta;
- abdominal trauma;
- systemic diseases (disruption of the normal functioning of the endocrine system, heart disease).
What can lead to detachment of the placenta?
If a pregnant woman detects such a violation, or even if she suspects it, the woman is hospitalized. This allows you to reduce the likelihood of complications.
Quite often, women, having learned about the development of this phenomenon, think about the danger of detachment of the placenta. As for the condition of a pregnant woman, it does not initially cause fear. The woman in most cases feels like usual, occasionally complaining of sighing pains in the lower abdomen and increased fetal activity.
But the baby, with detachment of the placenta in the early stages of experiencing acute oxygen starvation. This may adversely affect its intrauterine development.
However, the most dangerous consequence of detachment of the placenta is miscarriage. This phenomenon is not uncommon in the short term of pregnancy. Therefore, at the first suspicion of the development of this violation, the pregnant woman is hospitalized and constantly observed. Literally every day pregnant woman spend ultrasound examining the placenta, thus assessing her condition. With the development of such a violation in later terms, stimulation of the birth process or a cesarean section may be indicated.