Placenta or afterbirth is
part which attached to the uterine wall and serves as a supplier of oxygen and
nutrients to the fetus in the womb. Normally, the placenta attaches to the side
or top of the uterus. However, in the case of placenta previa, the placenta
attaches to the bottom so as to cover part or all of the cervix. Closing of the
birth canal does not allow infants delivered vaginally, because the placenta
that was hit by the baby will rupture and cause bleeding. Cesarean delivery
(sc) is a way to prevent and minimize bleeding.
In early pregnancy, the
placenta is located on the bottom wall of the uterus. As the pregnancy
progresses, the fetus and uterus will be growing. The size of the enlarged
uterus makes the placenta attracted and moved to the top of the wall of the
uterus. If the pregnancy has entered the third trimester, but the placenta
remains in the lower part of the cervix, a condition called Previa.
Placenta Previa conditions
There are 3 conditions of
Placenta Previa, namely:
1). Placenta Previa marginal
Placental periphery closer to
the cervix but not covering the cervix.
2). Placenta Previa partialis
Palsenta cover part of the
cervix.
3). Placenta Previa Totalis
Placenta covers the entire
cervix.
Causes of Placenta Previa
Some factors trigger Placenta
Previa is:
1). Abnormal uterine shape
2). Number of previous
pregnancies enough
3). Smoke
4). Pregnancy in older age
5). Never do kurtase or
cesarean surgery that will leave marks on the side or top of the wall of the
uterus so that the placenta could not stick in place.
Symptoms Placenta Previa
Symptoms of placenta previa
is bleeding at the end of the second trimester or early third trimester. But,
there is also no bleeding until close to delivery. The amount of blood ejected
varied, ranging from blood to blood droplets such as during menstruation.
Handling of Placenta Previa
To check the exact position
and depth of the attachment of the placenta, the usual obstetrician menggunalan
ultrasonography (USG) which can show the situation in the womb. Knowing this
will help doctors to predict how much bleeding can occur so that they can look
for the best solution.
If there is bleeding, then
the doctor will see whether the baby should be born or bleeding can still be
overcome. As much as possible, if bleeding occurs when the uterus has not aged
36 weeks, efforts will be made to address the bleeding so the pregnancy can
continue until the fetus is old enough to be born, more or less until the
content was 36 weeks.
Pregnant women with placenta
previa do not allow for a normal delivery because it would lead to severe
bleeding. Has been known a mother Placenta Previa, then to prevent the
occurrence of bleeding, namely:
1). Reducing physical
activity
Strenuous physical activity
can trigger contractions.
2). Bed rest
If you've experienced
bleeding repeatedly and in large quantities, it is suggested that the total bed
rest to prevent contractions and bleeding more.
3). Pelvic rest
Ie do not do things that could
potentially menyebabkna vaginal bleeding. For example, do not have sex, clean
the vagina using a liquid or a specific tool, using the pads vagina.
In the case of placenta
previa who have severe, sufferers should stay in the hospital so that the
doctor is easy to control. Handling will be done the doctor is giving
medications to prevent contraction and medicine to accelerate fetal lung
maturation for the possibility if the fetus must be born.
Because it may not be until
the contractions, then immediately contact your doctor if you feel the
contraction of the abdomen (stomach feels very loud) or out bloodstains.
Because it is the early signs of dangerous contractions. Immediately call your
doctor and to the hospital in order to receive appropriate treatment.
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