Low location of the placenta: the types of this pathology of pregnant women, how to treat,
The normal location of the placenta is considered when it is attached to the bottom of the uterus or to its posterior wall. In this position, the placenta is provided with the maximum blood supply. However, it happens that the placenta is attached below. The low location of the placenta suggests its location is 6 cm below the inner throat of the uterus.
It is very important whether or not the placenta overlaps the internal uterine ooze. This determines the entire course of pregnancy and the course of labor. Danger is the case when the placenta completely blocks the uterine sores, the so-called complete placenta previa. The danger lies in the impossibility of natural childbirth in this case.
Causes of low placenta previa
A fertilized egg is introduced into the uterine wall, the placenta is attached there and there. The most convenient places for this are the bottom or the back wall of the uterus. But if a woman has defects on the walls of the uterus, then the egg can not attach to the right place and is attached where it is possible.
Symptoms of
There are no clearly expressed symptoms of such a disorder during pregnancy. Identify this anomaly can only ultrasound. Some women may experience unpleasant sensations in the lower abdomen. There may be minor spotting. All these symptoms should be reported immediately to the doctor.
Consequences of
Finding the placenta is not in places where the blood flow is strongest, beforehand deprives the fetus in nutrients. In addition, all the time there is a risk of placental abruption. The placenta can exfoliate by pieces. At the site of detachment, hematomas are formed and the more hematomas, the less nutrients the child receives.
The placenta can change its position with the course of pregnancy. There is migration of the placenta. By late pregnancy, the placenta may rise.
Treatment of
The patient is referred to a hospital, there is peace and strict supervision that she performs bed rest. At the same time, drugs that reduce the contractile activity of the uterus, as well as drugs that improve blood clotting, give no more than 500 mg per day of ascorbic acid.
Carry out a blood transfusion to prevent the fall of hemoglobin, regardless of the absence or presence of anemia. Even if the bleeding has stopped, the patient is not discharged from the hospital.
Caesarean section is performed if a diagnosis of complete placenta previa is made and if bleeding is repeated at the end of pregnancy.
Autopsy of the fetal bladder is effective in partial presentation. If the bleeding site remains untouched by the present part, even after opening the fetal bladder, doctors can use the device to initiate labor, which when folded, is inserted behind the cervical cervix( internal) and filled with a sterile liquid.
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