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Facing Placenta Previa



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Placenta Previa is one of the main causes of bleeding during pregnancy or during birth. Bleeding during pregnancy and childbirth is one of the emergency because it can endanger the mother. Then, need special care during pregnancy and childbirth in cases of placenta previa.
Facing Placenta Previa
Placenta or afterbirth is the 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 that cover most 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. Delivery by cesarean (sc) is a way to prevent and minimize bleeding.

In early pregnancy, the placenta was 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.

Conditions Placenta Previa
There are 3 conditions of Placenta Previa, namely:
  • Marginal placenta previa
  • Placental periphery closer to the cervix but not covering the cervix.
  • Placenta Previa Partialis
  • Palsenta cover part of the cervix.
  • Placenta Previa Totalis
  • Placenta covers the entire cervix.
Causes of Placenta Previa
Some factors trigger Placenta Previa is:
  • Abnormal uterine shape
  • Number of previous pregnancies were pretty much
  • Smoke
  • Pregnancy in older age
  • Never do kurtase or cesarean surgery that left scars 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 in the late second trimester or early third trimester. However, there is also no bleeding until approaching childbirth. 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 attachment of the placenta, obstetricians commonly 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, 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 will cause severe bleeding. Has been known a mother's placenta previa, in order to prevent the occurrence of bleeding are:
  • Reducing physical activity
  • Strenuous physical activity can trigger contractions.
  • 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.
  • Pelvic rest
  • Ie do not do things in a potentially menyebabkna vaginal bleeding. For example, do not have sex, clean the vagina using a liquid or a particular instrument, use of vaginal pads.
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 was very hard) or out bloodstains. Because it is the early signs of contraction dangerous. Immediately call your doctor and to the hospital in order to receive appropriate treatment.


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