It is the separation of the placenta from the wall of the
uterus before the birth of the baby. Like other bleeding conditions, it
requires urgently to consult a doctor because it can pose serious risks for
both mother and baby. Placental abruption is a condition that occurs in one of
200 pregnancies.
The most common symptom of placental abruption is dark and
non-clotting vaginal bleeding with pain. Especially in severe separations, the
uterus is hard and cannot relax. Hypotension and shock findings may develop in
the mother. Baby heart beat may be impaired.
It is impossible to understand when and in what pregnancy
this condition may occur. However, some situations cause an increased risk of
placental abruption. These include gestational (pregnancy-related)
hypertension, chronic hypertension, preeclampsia, having had many births,
smoking, cocaine habit and severe malnutrition. Blows (such as a traffic
accident) that coincide with the abdominal region can sometimes cause the
development of placental abruption. In pregnancy with severe polyhydramnios
(increased amniotic fluid), rapid emptying of the uterus during the opening of
the amniotic sac spontaneously or by the doctor may also result in the
development of placental abruption.
Placental abruption is a pregnancy disease that requires
urgent intervention. Baby and mother life is in danger. The condition of the
baby is monitored from baby heart beats. Termination of pregnancy is planned
according to the health status of the mother and baby. Generally, pregnancy is
terminated by emergency cesarean section. Rarely, if the condition of the baby
and the mother is good, bleeding has stopped, and there are no birth pains, it
is kept under surveillance without any action. Rarely, the baby and the mother
are good, normal birth can be tried if they have labor pains.
Risk
factors for detachment placenta:
- Advanced maternal age
- Multiparite
- Smoking of the mother
- Cocaine
- Hypertension
- Trauma, accident etc. events
- PPROM
- Polyhydramnios
- Twin, triplet pregnancies
- thrombophilic diseases in the mother
- History of detachment in previous pregnancies (The
situation that creates the most risk)
- Placental anomalies
- IUGR
- Uterine malformations
- Myoma uteri
- Placenta surculvallata
-PLASENTA CALIFICATION
-PLACENTAL ABRUPTION
-PLASENTA PREVIA
-UTERIN INCARSERATION
