This is an automatically translated article.
The article was consulted with Doctor Bui Duc Hoan - Department of Obstetrics and Gynecology, Vinmec Nha Trang International Hospital.Placenta placenta is a serious medical condition that can be life-threatening for both mother and unborn baby. Therefore, the prevention of placenta previa as well as understanding how to deal with placenta previa is extremely necessary to help protect the safety of mother and baby during pregnancy.
1. Learn about vegetable striker?
1.1. Physiology of the placenta The placenta is formed very early along with the development of the fetus, shaped like a plate with a diameter of about 20-25cm, about 2.5-3cm thick, gradually thinner towards the cover. and weighs about 500-600g. The vascular system of the placenta is concentrated into two arteries and an umbilical vein that connects to the fetus, called the umbilical cord, with a length of 35-60cm.
1.2. Definition of placenta previa Normally the placenta attaches to the anterior, posterior, or fundus of the uterus. If for some reason (the uterus has an old surgical scar or deformity, multiple pregnancies, endometritis, multiple pregnancies or has had an abortion), the placenta will stick low to the waist area and partially or completely covering the opening in the cervix, preventing the baby's exit during labor. This condition is called placenta previa.
Based on the position of the placenta, the placenta previa is divided into 4 types:
Low vesicles. Vegetable striker clinging to the edge. Vegetable striker semi center. Vegetable center striker completely. 1.3. Signs to recognize placenta previa The manifestation of placenta previa is a state of natural vaginal bleeding, without abdominal pain, the amount of blood may be little or a lot, thin red color, possibly even clots. Blood came out in waves, the interval between the two bleeding times gradually shortened, the amount of blood coming out the next time was more than the previous time. Pregnant women have manifestations of anemia in varying degrees, fetal position is not normal, and fetal heart failure may occur if there is a lot of bleeding.
1.4. Diagnosis of placenta previa Currently, the ultrasound method will easily detect the position of the placenta, helping to make a quick and accurate clinical diagnosis. Through ultrasound, in addition to surveying fetal morphology, estimating weight through measurements,... the doctor can determine where the placenta is attached to the uterus, at the bottom, body, front, and back. , low grip, edge grip, central or semi-central striker.
Hình ảnh rau tiền đạo trong thai kỳ.
2. Is vegetable striker dangerous?
Veggies striker can lead to many dangerous complications.
Complications of placenta previa for the mother:
Placenta placenta causes bleeding when there is detachment, cervical dilation and can lead to massive bleeding. Therefore, if not diagnosed in advance and monitored at the hospital for timely management during labor, the mother can die due to a lot of blood loss leading to shock. Risk of hysterectomy, damage to the urinary system. Increased risk of infection, coagulopathy, severe anemia requiring blood transfusion. Complications for the baby:
Low placental status in the uterus can cause vaginal bleeding, placental abruption leading to miscarriage or premature birth. Risk of perinatal mortality. Newborns are anemic.
Biến chứng của rau tiền đạo rất nguy hiểm cho mẹ và bé.
3. Is it possible to spare striker vegetables?
Currently, the exact cause of placenta previa is not known, but many studies show that placenta previa is common in people with multiple births, abortions, multiple miscarriages or previous uterine infections. there.
Therefore, to prevent placenta previa, it is necessary to apply the following measures:
Take appropriate contraceptive measures to limit abortion. Maintain menstrual hygiene. Maintain hygiene during childbirth. Strict pregnancy management, regular antenatal check-ups. When there are abnormal signs, especially vaginal bleeding, it is necessary to immediately seek medical attention at a medical facility that specializes in obstetrics. Do not give birth a lot.
4. What to do with vegetable striker?
For asymptomatic placenta previa:
Outpatient monitoring. Pregnant women should be hospitalized immediately if they have uterine contractions or vaginal bleeding. To reduce the risk to the fetus, doctors will: Use lung support drugs for the fetus from 28-34 weeks of age Determine the time of elective cesarean section to be about 36-37 weeks of gestation. Infertility and immature fetus:
It is an obstetric emergency, requiring hospitalization for treatment. However, a pregnant woman can be discharged from the hospital with no vaginal bleeding within 48 hours and without any other risk factors. To reduce the risk to the mother and fetus, doctors will: Try to maintain the pregnancy until 34 weeks of age. After 34 weeks, the doctor will weigh the benefits of mother and fetus with the risk of massive blood loss to decide whether to continue nursing or to terminate the pregnancy. Use lung support drugs at 28-34 weeks of pregnancy. Blood transfusion if indicated. Choosing a way to terminate pregnancy depends on the classification of placenta previa: Vaginal birth: if the placenta is low and in the first position. Caesarean section: if other placenta previa. In case of placenta previa with heavy vaginal bleeding:
As an obstetric emergency, an urgent cesarean section is required. Infusion, anti-shock blood transfusion when indicated. Uterine artery ligation can be performed when needed or a total hysterectomy, especially when a placenta is present.
5. What should abstain from vegetables striker?
When having placenta previa, pregnant women need to limit travel, avoid going out, do not do heavy work, abstain from intercourse, and do not exercise after 20 weeks of gestation.
Vaginal examination in pregnant women with placenta previa can cause heavy bleeding. Therefore, vaginal examination should be limited. In cases where it is absolutely necessary to examine the vagina in aseptic conditions (in the operating room) and be prepared for blood transfusion and cesarean section if necessary.
When a woman with placenta previa has vaginal bleeding, she needs to go to the nearest hospital with an obstetric specialist capable of surgery for diagnosis and treatment. Depending on the degree of vaginal bleeding and the maturity of the fetus, the doctor will decide to terminate the pregnancy or continue nursing.
Placenta previa is a low-lying placenta in the lower uterine segment when the pregnancy is full term, so no matter where the placenta is attached, it can be prevented but can be prevented in high-risk people such as multiple births, aspiration curettage. multiple uterus, caesarean section. Bleeding in placenta previa is a dangerous phenomenon.
Vinmec has an appointment booking service for antenatal care and a maternity package service to examine and treat placenta previa during pregnancy.
With the desire to bring the best care for mothers and babies from pregnancy to delivery, Vinmec International General Hospital now has all-inclusive Maternity Care packages. Here, doctors monitor, advise and take good care of mothers and babies from the gestation period, ensuring the safest pregnancy possible. After the birth, mother and baby will rest and relax in a comfortable, international standard hospital room with dedicated and professional care from a team of doctors and nurses at the hospital.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
