The symptoms of placental abruption at different stages, first aid for this condition

The Placenta is called very important organ, which initially develops from the same cells as the baby. To 11-16 weeks, he's called the chorion, the villous membrane of the nucleus; its fibers penetrate the thickness of the wall of the uterus, according to him, the baby receives oxygen and food, are discharged metabolic products and carbon dioxide. After this period is complete, the placenta, which also has a lot of lint, but also food, and even produces hormones (particularly progesterone), which help maintain the pregnancy (before the formation of the placenta performs this function luteum in the ovary).

The Placenta has no contractile function, but attaches to the uterus – strong and large muscle, which even before the due date periodically briefly “trains”, resulting in the reduction of its individual sections for a short period of time. Normally, the placenta adapts to these movements, and nothing happens, but sometimes a situation arises when a smaller or larger portion thereof is peeled from the uterine wall. Then the fetus is suffering, as disturbed his food. In addition, this condition can lead to death of mother and fetus, therefore, the symptoms of placental abruption should be communicated to and pregnant women and their families.

What is the placenta?

Normally, the placenta needs to attach closer to the top, i.e. the bottom of the uterus, usually – at its posterior wall, but sometimes it is located closer to the exit – the cervical canal. This is called placenta previa. It can be a complete or Central, when the children's place is located on both sides of the exit from the uterus, blocking the way out. Could also be that the placenta is just a bit lower than necessary. Such a placentation is a predisposing factor for detachment.

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Thus, to exfoliate properly located or placenta previa. How it is located, depends on the symptoms of placental abruption.

Also the manifestations will depend on such factors as:

- lasts detachment or it could stay.

where was its separation from the uterine wall-in the center or the edge;

- at what time of pregnancy or even childbirth developed such as: placental abruption in early pregnancy, if the uterine wall moved a very small portion thereof, has a mild course and a favorable prognosis, after the children's place will continue to grow and develop, and it is likely that the defect will close and “grow”.

What are the symptoms when placental abruption?

The Main are three characteristics:

1) vaginal Bleeding of varying intensity.

2) Pain in the abdomen, its lower parts.

3) the Signs of suffering of the fetus: the change in heart rate, increase or decrease his physical activity.

Symptoms of placental abruption, depending on the clinical situation, are such:

I. If the abruption occurs placenta previa the edge, there is, basically, only the bleeding, the pain is almost not there. If you split off a small plot, the fetus does not suffer.

II. If the placenta, wherever it was located, exfoliate in the Central area, and the bleeding stops (that is, detachment neprognoziruemoe), then there may not be any symptoms. About this case, woman finds out on the ultrasound or then, after the fact, stands out a little brown blood.

III. If flaking detachment of normally situated placenta in the regional segment, there may be two symptoms of the three: the bleeding and pain. If the bleeding does not stop, the fetus begins to suffer, can start contractions and premature birth (or miscarriage if it is placental abruption in the first trimester).

IV. When there was a separation in the Central part of the placenta, the placenta accumulates the blood. It's called retroplatsentarnoy hematoma. It is in itself, even if the bleeding has stopped, able to detach the placenta on. Eventually can flake off a large area, and even a placenta. Blood with such partial detachment is not always excreted. Then the symptoms of placental abruption are: weakness, paleness, heart palpitations women, she feels abdominal pain, tension of the uterus, the baby often moves first, then can subside at all. Upon further permeation of the walls of the uterus by blood from the hematoma, the pain increases, the uterus does not relax. If the blood will find a way out, it flows out of the vagina.

V. the Placenta can detach during delivery. Then, too, there is bleeding can be clots. Bad uterus relaxes outside labor, if the fetus suffers, it stands out for its dark cal-meconium. These signs should be noted obstetrician-gynecologists

What to do if you think you have peeled off the placenta?

Any discharge of blood during pregnancy, even if it is brown “spotting” you must take a horizontal position and to inform their gynecologist that you are watching. If you highlight a red blood, you should lie down immediately, not to even get up to the toilet, be sure to call «Ambulance», and to secure the maximum rest. If the baby (by ultrasound) was developing normally, you don't severe preeclampsia or chronic pathology, there is a strong likelihood that the strict bed routine you stop the bleeding and then help arrives. Stop bleeding in case placental abruption does not mean that you can get up, some days will have to walk even to the toilet lying on the ship.