Doctor insights on:
Pathophysiology Of Abruptio Placenta
High BP, trauma, ROM: Abruptio placentae (formal term) occurs when there is separation of placenta from the wall of the uterus. The diagnosis depends on there being a normally placed placenta (eg, not one covering the cervix). There may or may not be bleeding early. Common causes include high blood pressures, trauma to the abdomen, rapid loss of amniotic fluid (eg, in cases of multiple pregnancy or excess fluid). ...Read moreSee 5 more doctor answers
Distance form cervix: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read moreSee 1 more doctor answer
Shearing forces: Abruption is a bleed from the placenta; a disruption of either the mother or baby's blood supply. Many causes: trauma, high blood pressure, drugs (cocaine), preterm labor, polyhydramnios. Can be very large or very small, so even US can miss a diagnosis. Symptoms: usually preterm contractions, sometimes vaginal bleed. Fetal monitoring is necessary. Wait, watch; abruption can self-heal sometimes. ...Read moreSee 1 more doctor answer
Bleeding or None: Placental abruption is when the placenta detaches from the uterine wall before the baby is born. This happens in only 1% of pregnancies. Patients may or may not have vaginal bleeding. It can be dangerous as the baby may not get the same amount of oxygen and nutrients if the abruption is large. Abruption has been linked to maternal high blood pressure, Cocaine use, abdominal trauma and smoking. ...Read moreSee 2 more doctor answers
Fetal demise.: Fetal hemorrhage is rare but potentially lethal. The mother may not have any symptoms (except painless vaginal bleeding in case of ruptured vasa previa) but the fetus can rapidly exsanguinate and die if this dire complication occurs. Rare intracranial hemorrhage is seen in the fetal life; this can be lethal or neurologically devastating, although mild cases can even go unnoticed. ...Read more
Incidence of : Umbilical Cord Prolapse is 1.4 -6.2/ 1000 pregnancies. Frequency of placental abruption is 1% & abruption with fetal death, 0.12%. Risk of a 2nd abruption is 4-12%; of a 3rd, 25%. There's a 40% ^ in risk of abruption for each year a woman has smoked tobacco prior to pregnancy + a higher risk of fetal demise if abruption occurs in smokers. Cocaine use ^es risk up to 35%. ...Read more
Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?
Placenta Previa: Placenta previa occurs when the placenta is covering the opening of the cervix. Vaginal delivery is possible in mild cases of previa. Placenta accreta is a different condition where the placenta gets "stuck" to the uterus. While the risk of accreta increases when you have previa, that risk is low if you have never had a c-section before. Follow-up with your obstetrician regarding delivery dates. ...Read more
Is there a tight link between first trimester subchorionic hemorrhage and second trimester preterm premature rupture of membranes?
What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?
Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more
no: Placenta previa is an obstetric complication in which the placenta is inserted partially or wholly in lower uterine segment.It can sometimes occur in the later part of the first trimester, but usually during the second or third. It is a leading cause of antepartum haemorrhage (vaginal bleeding). It affects approximately 0.4-0.5% of all labours. ...Read moreSee 1 more doctor answer
What are the complications of placenta previa? What risks go along with placenta previa? How serious is the condition?
Bleeding risk.: Placenta previa means that the birth canal is blocked by the afterbirth. This can cause severe vaginal bleeding that can threaten the maternal and fetal life. It carries a risk of placenta accreta and hysterectomy with it and must be managed in a large hospital with a blood bank and perinatal anesthesiology round the clock. It is a serious pregnancy complication! seek mfm care. ...Read moreSee 1 more doctor answer