What is placental abruption?

Premature placenta means that the placenta is no longer in its normal position before the fetus is delivered and will detach prematurely. At this time, you need to go to the hospital for examination in time. If the examination is not timely, it is likely to cause some danger. Therefore, expectant mothers should regularly observe some changes in their bodies during pregnancy, and do a thorough prenatal examination. If some minor symptoms occur, you should pay special attention to it and never think that these problems do not need to be cared about.

What does placental abruption mean?

Placental abruption is a relatively serious obstetric complication, which means that the placenta is detached from its normal position before the fetus is delivered. Because the placenta is the organ that supplies nutrition to the fetus, when the placenta is separated from the mother, the blood supply to the fetus is interrupted. The consequence of placental abruption is intrauterine fetal death. Bleeding will fill the uterine cavity and increase the pressure in the uterine cavity. If the bleeding accumulates more and more, the blood can seep into the base of the uterus and cause serious uterine stroke. Some blood can even flow to the fallopian tubes and ovaries. If the treatment is ineffective and rescue is not timely, the uterus cannot be protected and hysterectomy is the only option.

The cause of placental abruption is unclear. Common complications include pregnancy-induced hypertension or gestational diabetes. Pregnant women with these complications are prone to placental abruption. Some placental abruptions occur in some normal pregnant women for unknown reasons. External force impact can also cause placental abruption. Its symptoms are abdominal pain, and persistent abdominal pain, vaginal bleeding, and decreased fetal movement. If a pregnant woman has this condition, she should go to the hospital immediately.

There are two types of placental abruption: mild and severe. Mild cases mainly present with vaginal bleeding, and the placental detachment surface generally does not exceed one-third of the placenta. It may be accompanied by mild abdominal pain, and there is mild tenderness in the abdomen corresponding to the placental detachment surface. The fetal heart rate is usually normal, and the harm to the mother and child is relatively minor.

Severe cases are mainly characterized by internal bleeding between the placenta and uterus, often with a large retroplacental hematoma. At this time, pregnant women may experience nausea, vomiting, pale complexion, discharge of cold fluid, and weak pulse due to excessive bleeding. If the placenta is detached more than half, the fetus will often die due to severe hypoxia; the pregnant woman's life will also be in danger if she does not receive timely rescue.

Placental abruption is a serious complication in late pregnancy. It has an acute onset and develops rapidly. If discovered, it must be treated promptly. If not treated in time, it will endanger the health of the fetus and the pregnant woman. The principles of treatment are early identification, correction of shock, timely termination of pregnancy and prevention of complications.