Fibroid Health

Bleeding during pregnancy, placenta previa or placenta

Bleeding can occur at different times of pregnancy. Same if bleeding is alarming, it may or may not be a serious complication. The bleeding time during pregnancy, quantity, and whether or not pain may vary the case.

Bleeding during the first quarter of pregnancy is quite simple and can be for the following reasons:

• miscarriage (pregnancy loss)
• ectopic pregnancy (Pregnancy in the fallopian tubes)
• Gestational trophoblastic disease (a rare disease that may be where a cancerous mass in the form of a set of tissues fetal and placental)
• implantation of the placenta in the uterus
• infection

Bleeding in late pregnancy (after 20 weeks) may be due to:

• placenta previa (the placenta is near or over the cervical opening)
• abruptio placenta (placenta separates prematurely from the uterus)
• unknown

What is placenta previa?

Placenta previa is a condition in which the placenta is attached close to or covering the cervix (the opening of the uterus). Placenta previa occurs in about one in 200 live births. There are three types of placenta previa:

• total placenta previa – the placenta completely covers the cervix.

• partial placenta previa – the placenta is partially over the cervix.

• Marginal placenta previa – The placenta is near the edge of the cervix.

What causes placenta previa?

The cause of placenta previa is unknown, but associated with certain conditions including the following:

• women who have scarring of the uterine wall from previous pregnancies
• women who have fibroids or other abnormalities of the uterus
• women with uterine surgeries or cesarean deliveries
• older mothers (more 35)
• Afro-Americans or other minority group mothers
• Smoking
• placenta previa in a previous pregnancy

Why What is placenta previa a concern?

The greatest risk Placenta previa is bleeding (or hemorrhage). The bleeding usually occurs when the bottom of the uterus thins during the third trimester of pregnancy in preparation for the job. It makes the area of the placenta over the cervix to bleed. Most of the placenta covers the os, the greater the risk of bleeding. Other risks include the following:

• abnormal placental implantation
• slower growth fetal
• precocity
• Congenital
• postpartum infection

What are the symptoms of placenta previa?

The most common symptom of placenta previa is vaginal bleeding red and not associated with abdominal pain or pain, especially in the third trimester of pregnancy. However, each individual may experience a different form of the condition or symptoms may resemble other conditions or problems physicians. Always consult your physician for a diagnosis.

How is placenta previa diagnosed?

In addition to his medical history and a complete physical examination, an ultrasound (a test that uses sound waves to create images of internal structures) can be used to diagnose placenta previa. A Ultrasound can show the location of the placenta covers the cervix and how. Vaginal ultrasound may be more accurate in diagnosis.

Although ultrasound may show a low-lying placenta in early pregnancy, some women will develop true placenta previa. It is common for the placenta to move upwards and away from neck uterus grows, called placental migration.

The treatment of placenta previa:

Specific treatment for placenta previa will determined by your physician based on:

• your pregnancy, overall health and medical history
• State measurement
• Your tolerance for specific medications or therapies
• Expectations for the course of the condition
• Your opinion or preference

There is no treatment to change the position of the placenta. Once placenta previa is diagnosed, additional ultrasound examinations are often performed to track its location. It may be necessary to deliver the baby, depending on the amount of bleeding, the gestational age and fetal status. Cesarean delivery is necessary for most cases placenta previa. more severe blood loss may require blood transfusion.

What is placental abruption?

Detachment is the premature detachment of the placenta is implanted in the uterus. In the placenta of many blood vessels that allow the transfer of nutrients to the fetus by the mother. If the placenta begins to detach during pregnancy, there is bleeding from these vessels. More surface that stands out, besides the amount of bleeding. The detachment occurs approximately once every 120 births. Also known as placental abruption.

What causes placental abruption?

Other than direct trauma to the uterus, a motor vehicle accident, the cause of placental abruption is unknown. It is, however, associated with certain conditions include:

• previous pregnancy with placental abruption
• Hypertension (high blood pressure)
• Smoking
• Multiple pregnancies

Why is placental abruption a concern?

detachment the placenta is dangerous because of the risk of uncontrolled bleeding (hemorrhage). Although the severe detachment of the placenta is rare, other complications may be as follows:

• haemorrhage and shock
• coagulation (DIC) – a serious complication of blood clotting.
• movement of blood and damage the kidneys or brain
• stillbirth
• postpartum (after delivery) hemorrhage

What are the symptoms of placental abruption?

The most common symptom of placental abruption is vaginal bleeding dark red with pain during the third trimester of pregnancy. It can also occur during childbirth. However, each individual may experience symptoms differently. Symptoms may include:

• vaginal bleeding
• abdominal pains
• uterine contractions that relax
• blood, amniotic fluid
• nausea
• thirst
• weak sense
• decreased fetal movement

The symptoms of placental abruption may resemble other medical conditions. Always consult your physician for a diagnosis.

How detachment diagnosed?

The diagnosis of Placental abruption is usually made by symptoms, and the amount bleeding and pain. Ultrasound can also be used to indicate the location of the hemorrhage and to examine the fetus. There are three grades of placental abruption, including the following:

• Degree 1 – small amount of vaginal bleeding and uterine contractions, no signs of fetal distress, or low blood pressure in the mother.
• Grade 2 – In mild to moderate bleeding, uterine contractions, fetal heart rate may shows signs of suffering.
• Grade 3 – bleeding moderate to severe or occult (hidden) bleeding, uterine contractions that relax (called tetany), abdominal pain, low blood pressure, stillbirth.

Sometimes undiagnosed abruptio placenta after birth, when an area of clotted blood is found behind the placenta.

Detachment treatment of the placenta:

Specific treatment for placental abruption will be determined by your physician based on:

• pregnancy, overall health and medical history
• extent of disease
• tolerance for specific medications, procedures, or therapies
• Expectations for the course of the disease
• Your opinion or preference

There is no treatment to stop placental or reattach. Once placental abruption diagnosed, care for a woman depends on the amount of bleeding, gestational age and fetal status. Childbirth cesarean section is performed for most cases of placental abruption and emergency delivery may be needed if bleeding occurs. The severe loss may require blood transfusion.

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