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Placental abruption

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Overview

Placental abruption is a rare yet serious complication of pregnancy that occurs when the placenta separates from the inner wall of the uterus. This can happen partly or completely, and it can cause a decrease or blockage in the baby's supply of oxygen and nutrients. In severe cases, it can also cause heavy bleeding in the mother.

Types of Placental abruption

There are several types of placental abruption:

  1. Partial Placental Abruption: The placenta separates from the uterus but remains partially attached.
  2. Complete Placental Abruption: The placenta completely separates from the uterus.
  3. Recurrent Placental Abruption: The placenta separates from the uterus multiple times during pregnancy.

Causes of Placental abruption

The exact cause of placental abruption is not known, but it is believed to be related to:

  1. High Blood Pressure: Women with high blood pressure are at increased risk of developing placental abruption.
  2. Placental Insufficiency: The placenta may not be functioning properly, leading to decreased blood flow and oxygen delivery to the baby.
  3. Trauma: Physical trauma to the abdomen can cause the placenta to separate from the uterus.
  4. Multiple Pregnancies: Women carrying twins or other multiples are at increased risk of developing placental abruption.

Risk Factors of Placental abruption

The following risk factors may increase the likelihood of developing placental abruption:

  1. Previous Pregnancy Complications: Women who have experienced complications during previous pregnancies may be at increased risk.
  2. Age: Women over 35 years old may be at increased risk.
  3. Smoking: Women who smoke during pregnancy are at increased risk.
  4. Family History: Women with a family history of placental abruption may be at increased risk.

Symptoms of Placental abruption

Symptoms of placental abruption may include:
1. Vaginal Bleeding: Heavy bleeding or spotting during pregnancy.
2. Abdominal Pain: Severe abdominal pain or cramping.
3. Fever: Elevated body temperature.
4. Fatigue: Feeling weak or exhausted.

Preventions of Placental abruption

There is no known way to prevent placental abruption, but early detection and treatment can help manage the condition and reduce the risk of complications.

Diagnosis of Placental abruption

Diagnosis and evaluation of placental abruption typically involve:

  1. Ultrasound: Ultrasound imaging to visualize the placenta and uterine wall.
  2. Physical Examination: A physical examination to check for signs of bleeding or trauma.
  3. Blood Tests: Blood tests to monitor for signs of infection or blood loss.

Treatment for Placental abruption

Treatment and management of placental abruption depend on the severity of the condition:

  1. Conservative Management: Conservative management may involve monitoring blood loss and administering medications to control bleeding.
  2. Surgical Management: Surgical management may involve performing a cesarean section or removing the placenta.

When to seek medical attention ?

If you are experiencing symptoms that are similar to those described above, it is essential to see a doctor for proper evaluation and diagnosis.

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