The placenta is a fundamental part of pregnancy. It is responsible for the nutrition of oxygen and nutrients necessary for the baby’s growth. Placental detachment poses risks to this pregnancy, because when it happens, depending on the severity, it can lead to a premature birth or unfortunately lead to the baby’s death.
Risks of Placenta Detachment
These risks happen because, with the detachment of the placenta from the uterine wall (where it must remain until the end of pregnancy) the passage of all the benefits of the mother’s body that pass to the baby through this temporary organ, are compromised .
Role of Placenta in Pregnancy
The placenta also works for the mother’s body for the baby as a kind of barrier that determines what should or should not reach the baby, such as bacteria and diseases. That is why some drugs are banned, they are those that manage to pass through this protective barrier of the placenta. In addition to all the nutrients, the placenta also secretes several hormones responsible for good health in pregnancy , so the detachment should be detected as soon as possible.
Placental detachment is common after the start of the 3rd trimester of pregnancy, that is, after the 27th week. However, nothing prevents this detachment from appearing before that time. With a few weeks of gestation, the feared detachment is that of the gestational sac , but they are different things. The sac holds the baby and the placenta at the same time in a much smaller size than the phase in which the placental detachment is risky to happen, around the 7th month of pregnancy.
What is Placenta Detachment
We can say that the placenta detachment happens when the organ undergoes a displacement from the place where it is fixed . Between the uterine wall and the placenta, an accumulation of blood or air can occur and creates a space between the uterine wall and the placental membrane.
Causes of Placenta Detachment
The causes of placental detachment are usually the effects of before pregnancy happens, such as hypertension or DHEG (hypertensive disease exclusive to pregnancy) and diabetes, for example, but it can also happen by:
- Excessive amniotic fluid (polydramnia)
- Extremely low pressure (hypotension)
- Problems with blood clotting
- Smoking or drug use
- Accidents or violent crashes in the abdominal or thoracic region such as falls and trauma due to car accident
- Bicorn uterus or didelphus
If the pregnant woman has any of these characteristics, the doctor will keep an alert signal on and in any sign of detachment, enter with the appropriate and preventive measures.
Symptoms of Placenta Detachment in Pregnancy
Placental detachment is characterized by abdominal and back pain. In most cases, the placental detachment also causes bleeding of small or large volume and may or may not be accompanied by amniotic fluid.
One of the symptoms of the placenta detachment is the baby’s little movement , so if there is acute pain and low movement, you must go to the maternity ward or your obstetrician. Frequent contractions are also one of the symptoms of placental detachment.
Is Bleeding a Sign of Placenta Detachment?
It is important to say that not all bleeding during pregnancy is a sign of placental detachment , but the cause must be investigated. Bleeding can happen from placenta previa, uterine polyps, blood vessels that burst during sexual intercourse and even low hormones.
The treatment for placental detachment is usually medicated and rest . If the case is not serious, the pregnant woman can stay at home even in absolute rest. In severe cases of detachment, doctors monitor the pregnancy and apply corticosteroid medication such as Celestone to ripen the baby’s lung.
Pregnancies below 28 weeks of gestation are considered to be extremely premature. In the case of placental abruption, the doctor will try to postpone the delivery as long as possible , but if you are at risk or fetal distress, the delivery will be induced or a caesarean section can be done on an emergency basis.
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My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.