ABRUPTIO PLACENTA

Topics: Pregnancy, Childbirth, Uterus Pages: 3 (1121 words) Published: February 11, 2015
ABRUPTIO PLACENTA
Placenta abruptio is the separation of the placenta (the organ that nourishes the fetus) from its attachment to the uterus wall before the baby is delivered. Causes
Injury to the belly area (abdomen) from a fall, hit to the abdomen, or automobile accident Sudden loss of uterine volume (can occur with rapid loss of amniotic fluid or after a first twin is delivered) Risk factors include:

Blood clotting disorders (thrombophilias)
Cigarette smoking
Diabetes
Drinking more than 14 alcoholic drinks per week during pregnancy High blood pressure during pregnancy (about half of placental abruptions that lead to the baby's death are linked to high blood pressure) History of placenta abruptio

Increased uterine distention (may occur with multiple pregnancies or very large volume of amniotic fluid) Large number of past deliveries
Older mother
Premature rupture of membranes (the bag of water breaks before 37 weeks into the pregnancy) Symptoms
Abdominal pain
Back pain
Frequent uterine contractions
Uterine contractions with no relaxation in between
Vaginal bleeding
Treatment
Treatment may include fluids through a vein (IV) and blood transfusions. The mother will be carefully monitored for symptoms of shock. The unborn baby will be watched for signs of distress, which includes an abnormal heart rate. An emergency cesarean section may be needed. If the baby is very premature and there is only a small placental separation, the mother may be kept in the hospital for close observation. She may be released after several days if the condition does not get worse and any bleeding stops. If the fetus is developed enough, vaginal delivery may be done if it is safe for the mother and child. Otherwise, a cesarean section will be done. On June 13, 2012 -  I was heading into the doctor's for a routine check-up, I was about exactly 32 weeks.  My appointment was at 9:15. I was feeling perfectly fine, my only complaint in retrospect was a mild back-ache.  I went...
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