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Previous placental abruption or abrupt placenta in pregnancy

Previous placental abruption or abrupt placenta in pregnancy


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Premature detachment of the placenta, also known by its acronym DPP or abrupt placenta, is one of the complications that can occur in pregnancy.

It poses a serious risk although it is not usually a common disorder. Know what is abrupt placenta in pregnancy, what symptoms does it have, what is its possible treatment, and what risks it may pose for the mother and baby during pregnancy.

The placenta is one of the organs involved in pregnancy and only pregnant women have a placenta. It grows throughout gestation and is expelled during labor after the baby is born. It has a slimy appearance, more or less circular in shape and can measure up to 25 cm in diameter and weigh half a kilo.

It is located on the inside of the uterus and is formed from the same cells as the baby, that is, the ovum and the sperm. It begins to form in the second week of pregnancy.

Thanks to the placenta, the baby can grow and develop, and it is the organ that is responsible for providing oxygen and nutrients.

Occurs when the placenta partially or totally separates from the uterus during gestation. A serious problem as the baby runs out of oxygen and nutrients and can lead to the death of the baby.

And, the placenta has two faces, one of them is attached to the wall of the uterus through blood vessels. If the pregnancy proceeds normally, it will come off at the end of the pregnancy, when the baby is born.

If it becomes detached from the lining of the uterus during pregnancy, the baby cannot receive nutrients through the mother's bloodstream. This is known as premature detachment of the placenta or abrupt placenta. The greater the shedding, the greater the risk to the baby.

There are several types of abrupt placenta:

- Asymptomatic: detected after delivery.

- Mild: the bleeding is light and the baby is not suffering.

- Moderate: the level of bleeding is absent or moderate and the baby does present fetal distress.

- Severe: the mother presents circulatory shock and there is no hope for the survival of the baby.

It usually occurs mainly in the third trimester of pregnancy and its symptoms are:

  • Vaginal bleeding
  • Contractions
  • Abdominal pain

Vaginal bleeding is the main symptom that can lead to suspect that the pregnant woman suffers from an abrupt placenta, however, this is not always the case. Sometimes the blood is trapped between the placenta and the uterus and there is no visible sign. These are the most dangerous cases.

The mother may suffer circulatory shock due to blood loss, severe anemia, or kidney failure, while the baby may suffer fetal distress, premature birth, or stillbirth.

Some of the most common causes of placental abruption are:

- Trauma or strong abdominal blow.

- Preeclampsia or eclampsia.

- Smoking.

- Having already had a premature detachment in another pregnancy.

- Mother over 40 years old.

- Early breakage of the bag.

- Arterial hypertension.

- Amniocentesis.

- Multiple pregnancy.

Today the formula to reattach the placenta to the wall of the uterus is unknown, so the medical team often recommends rest at home or even hospitalization for the pregnant woman.

Some medications prescribed by doctors can help the baby stay nourished, and if the time of delivery comes and complications occur, the gynecologist will opt for a cesarean section.

You can read more articles similar to Previous placental abruption or abrupt placenta in pregnancy, in the category of Diseases - annoyances on site.


Video: Comparison of Placental Abruption and Concealed Placental Abruption (November 2022).