Abstaccio placenta is a potentially life-threatening complication of pregnancy. It causes the placenta to abruptly separate from the uterus. The placenta contains many blood vessels which are vital for the mother and fetus to exchange nutrients. Abruption of the placenta can cause severe bleeding and disseminated intravascular coagulation. If left untreated, this condition can result in serious blood clotting. If not diagnosed early, placental abruption may present with symptoms of bleeding, uterine pain, hemorrhage, and disseminated intravascular coagulation.
In severe cases, delivery may be necessary. If the fetus is stable, vaginal delivery is possible. However, if the fetus is in distress, a cesarean delivery may be indicated. If the placenta is too detached, delivery may be necessary. A woman should contact her healthcare provider if she experiences any of these symptoms. If it is not severe, the placenta can be reattached without any problems. Abruption can be fatal in 15% of cases.
Bleeding during pregnancy is an indicator of placental previa. A placental exam will show a crater-like depression on the maternal surface. Dark blood or fibrin deposits will be found in older cases. In some cases, a totally abrupted placenta does not have any abnormalities on its surface. However, bleeding may occur into the uterine myometrium, which could result in a Couvelaire uterus and massive postpartum hemorrhage.
Women who experience placental rupturing often experience painful abdominal cramping, and lower back pain. Some women also experience vaginal bleeding. Some women may experience vaginal bleeding, although not all cases are associated with it. If you experience any of these symptoms, see your GP or midwife as soon as possible. You should also contact 111 if you suspect placental abruption.
Abruptio placenta is a potentially life-threatening condition that happens to 1 in 100 pregnant women. Abruptio placenta can occur anytime during the third trimester or after 20 weeks of pregnancy. Mild and moderate placental rupturing are relatively harmless. Severe cases may lead to complete separation of the placenta and stillbirth.
If placental rupturing has occurred during pregnancy, your healthcare provider may recommend that you undergo delivery. You may opt for a vaginal delivery or undergo a C-section if the condition is mild. In severe cases, however, the placenta is not reattached. While you wait for the baby to be born, you must take care not to overeat, exercise, or drink alcohol. The pregnancy may be interrupted by complications such as diabetes or high blood pressure.
While mild abruption is relatively harmless and may require no medical treatment, it is still important to be monitored closely. Women over 34 weeks of pregnancy may choose a vaginal delivery if there is no bleeding or the condition is not severe enough to warrant a C-section. For a severe case, however, the woman may be forced to undergo a C-section. She may even need a blood transfusion.
Although the exact cause of placental rupturing is not fully known, some lifestyle factors are thought to increase the risk. Abdominal trauma from a car accident, assault, or fall can cause a placenta to tear free of the uterus. Other factors that may lead to placental rupturing include scarring from past surgery. In some women, light or moderate vagina bleeding is enough to cause placental rupturing.
Some preventive measures you can take to lower your risk of having a placental rupturing event are to avoid smoking, alcohol, and drugs, and to wear a seatbelt while driving. Your doctor may recommend taking folic acid prenatal vitamins. If you’re a woman who has previously experienced a placental rupturing, she may recommend these preventative measures as well.
Women with placental rupturing should seek medical attention immediately if they notice any of the symptoms mentioned above. A retroplacental clot will almost always be present after placenta delivery. Blood extravasated into the myometrium can cause uterine serosa to be purple. Further testing will help to determine whether there is an actual rupture. A cesarean delivery may be necessary.
Symptomatic treatment for abruptio placenta depends on the severity and stage of the abruption. Some women may need to give birth immediately. Corticosteroids may also be given to speed up the development of the baby’s organs. If you think abruptio placenta is causing an infection, your doctor may recommend urgent surgical intervention to save the fetus. It’s important to note that a diagnosis of this type is not always possible.