Summary: If you have abnormal symptoms such as abdominal pain and vaginal bleeding in the third trimester of pregnancy, you must not be paralyzed. You should seek medical treatment promptly and pay close attention to fetal movements. Once you arrive at the hospital, provide the doctor with as much information as possible. Xiaoyang was about seven months pregnant. When she went for a prenatal check-up, she found that her blood pressure was 140/100mmHg and her urine protein was +. The doctor said it was pregnancy-induced hypertension, and Xiaoyang was hospitalized. But apart from the swollen feet, Xiaoyang had no other discomfort. The mother-in-law who accompanied me during the maternity check-up said that her feet were also swollen during pregnancy. So Xiaoyang didn\’t take the doctor\’s words to heart and followed her mother-in-law home. Three days later, Xiaoyang felt dizzy, suddenly had severe abdominal pain, and a large amount of blood flowed from his lower body. Xiaoyang\’s vision went dark and he fainted. Her family rushed her to the hospital. The doctor said that Xiaoyang suffered from placental abruption and needed immediate surgery. Fortunately, they were rescued in time, and Xiaoyang mother and son were safe. The doctor said that if the vaginal delivery is delayed and the condition continues to worsen, the separation area of the placenta continues to expand, and the amount of bleeding continues to increase, coagulation dysfunction may occur, seriously endangering the life of the mother and child.
What is placental abruption?
The placenta has a rich blood supply and numerous blood sinuses. It is the place where the fetus and mother\’s body exchange materials. Usually, it falls naturally from the uterus after the baby is delivered. At this time, the placenta has successfully completed its task. However, if after 20 weeks of pregnancy or during delivery, the placenta in its normal position partially or completely detaches from the uterine wall before the baby is delivered, it is called placental abruption.
What causes placental abruption?
Wen Jiying, chief physician of the Obstetrics Department of Guangdong Maternal and Child Health Hospital, explained that the causes of placental abruption may be related to factors such as vascular disease, mechanical factors, sudden drop in intrauterine pressure, and sudden uterine enlargement. Venous pressure. Hypertensive disease during pregnancy, trauma, sexual intercourse, premature rupture of membranes, umbilical cord factors, etc. may also cause placental abruption.
How to detect placental abruption early? Be wary of 2 situations
Director Wen reminded expectant mothers that placental abruption usually has an acute onset, rapid progression, and high risk. If not handled properly, as the area of placental separation continues to expand, bleeding may continue to increase, and the risk of coagulation dysfunction will gradually increase. Serious threat to maternal and child health. Therefore, we should pay more attention to placental abruption, and early identification and timely diagnosis and treatment are very necessary.
How can pregnant women and their families detect placental abruption early? Director Wen said that after placental abruption occurs in pregnant women, they usually have two main symptoms, one is vaginal bleeding and the other is abdominal pain. However, because the clinical characteristics of placental abruption vary greatly, it is not difficult to diagnose typical placental abruption. However, many times we encounter atypical placental abruption with unclear clinical characteristics, which often affects early diagnosis.
For example, some pregnant women with placental abruption only have a small amount of vaginal bleeding or a small amount of vaginal bleeding, accompanied by low back pain, lumbosacral pain, etc., which are often mistaken for threatened premature labor or labor; some placentas are attached to the posterior wall, fall off suddenly, and cause excessive bleeding. less, abdomenThe signs are not obvious, and may only manifest as low back pain or persistent pain in the deep pelvis, and the uterine contractions are hidden, which often makes diagnosis difficult.
Therefore, in order to make a clear diagnosis, we usually need to use a doctor\’s examination and auxiliary B-ultrasound, electronic fetal heart rate monitoring, etc. Once placental abruption is diagnosed, the pregnancy should be terminated immediately.
Director Wen reminds all expectant mothers that if abnormal symptoms such as abdominal pain and vaginal bleeding occur in the third trimester of pregnancy, they must not be careless and seek medical treatment promptly and pay close attention to fetal movements. The characteristics, duration, amount of bleeding, triggers, etc. of abdominal pain, etc., actively cooperate with the doctor’s diagnosis and treatment, on the one hand, it can save time to rescue the fetus and avoid fetal death, on the other hand, it can prevent the condition from further deterioration, and strive to reduce the harm to the minimum lowest. to the bare minimum.