How does vagity flow in case of marginal placenta previa? Craiova placenta.
Placenta previa can lie to the pathology of vaginess, and in terms of 37-40 types of gestation, it develops in 0.2-3.0% of cases. In the early terms of vaccinity, placenta previa is more common (up to 5-10% of dropouts), proteoly, as the fetus grows and develops, the uterus expands, and the baby moves further away from the cervical region. Such a process is called by obstetricians "migration of the placenta".
In order to understand the essence of the pathological rotting of the placenta, called previa, it is necessary to reveal the life of the uterus, as it mentally grows on the body, bottom and neck. The cervix is pierced in the lower part of the organ, and the lower part is lowered into the pelvis. The upper part of the uterus, which is a horizontal maidan directly opposite the neck, is called the bottom. And the side walls, ruffled between the bottom of that neck, are called the body of the uterus.
The cervix is a kind of squeezable cylinder of m'yazovoi tissue with a middle opening, as it is called the cervical canal. If this cylinder is stretched out, then the cervical canal will expand, having made an opening with a diameter of 9-11 cm, through which child you can exit the uterus during the process of sexual intercourse. The pose of the canopies of the cervix is strongly collapsed, and the opening is narrower in the new one. In order to reveal your own physiological role of the cervix, paint your thoughts on a bear, tied with a moth. The very part, tied with a skein, є tієyu, tightly squeezed by the cervix of the uterus, as if it were tucked into the place of the bear, according to the name. Now turn this bear with the lapel down, so that the part, tied with a skein, was stunned to the bottom. In such a looking bear, I again repeat the growth of parts of the uterus and mimic the role of the cervix. The uterus in the abdomen of the woman is ripped as follows: the bottom is at the upper part, and the cervix is at the bottom.
Under an hour, the cervix of the uterus is gently sloping, and the essence of the cervix opens (explodes), as a result, an opening opens, which can pass a child. Like the image of a bear, the process of opening the cervix is equivalent to a simple opening of the moth, which draws its opening. As a result of such a "revealing" of the bear, everything that is known in the new vipad is out of the blue. Ale, as if to open the teddy bear and at once present a song to him, instead of being left in the middle, the shards simply cannot be pasted. So the child itself cannot be born, as if on a yoga path, on the mist of the opening of the cervix of the uterus, as if it were a break. The placenta itself is such a perforation, it is ripped in the region of the cervix. І її roztashuvannya, which zavazhє the normal flow of the intercourse, is called placenta previa.
With placenta previa, a high mortality of newborns is fixed, which makes it 7 to 25% of deaths, depending on the technical equipment of the canopy booth. The high child mortality in placenta previa is marked by a notably high frequency of frontal canopies, fetoplacental insufficiency and an abnormal position of the fetus in the mother. A high infant mortality rate, placenta previa can cause morbidity - bleeding in a woman, in a gyna close to 3% of women. Itself through the care of a child and maternal mortality, placenta previa is brought to pathology of vaginess.
See placenta previa and its characteristics
Fallow in the specific features of placental rotting in the cervical dilatation, one can see sprats of different predlenium. In this hour, there are two main classifications of the placenta. The first is based on the appointment of a protracted vaginess for the support of ultrasonic transvaginal follow-up (USD). Another classification is based on the position of the placenta in the process of the uterine cervix when the cervix is 4 or more cm.On the basis of data from transvaginal ultrasound, which fluctuates with vaccinity, one can see the following differences in the placenta:
1.
Externally overdue;
2.
Not exactly overbearing;
3.
Low overdose (low rotting).
External placenta previa
Outside placenta previa (placenta praevia totalis - lat.). In this case, the placenta completely closes the internal opening of the cervix (internal cervical). Tse means that the cervix will open again, then the child cannot be consumed in the birth path, the shards of the path will block the placenta, which will overlap the exit from the uterus. Strictly speaking, curtains in a natural way with total placenta previa are impossible. The only option for birth in such a situation is cesarean birth. Such placental rupture occurs in 20 - 30% of the total number of deformities, and it is the most unsafe and unacceptable at a glance, the risk of development is reduced, child and maternal mortality.Nepovne (chastkove) placenta previa
In case of incomplete (chastkovy) previa (placenta praevia partialis), the placenta distorts the internal opening of the cervix less frequently, leaving a small area with a large diameter. Partial placenta previa can be removed from the plug, as it closes part of the diameter of the pipe, not allowing water to collapse from the maximum possible swidkistyu. So, up to an inconsistent deposition, one can see the significance of the lower part of the placenta on the edge of the opening of the cervix. That is the lowest edge of the placenta, and the wall of the inner opening of the cervix is on the same level.In case of inconsistent placenta previa near the upper part of the lumen of the cervix, the head of the child, as a rule, cannot pass; The frequency of this type of predilection becomes from 35 to 55% of the cases.
Low (lower) placenta previa
In this situation, the placenta is displaced at a distance of 7 or less centimeters from the perimeter of the entrance to the cervical canal, but not within reach. That is why the area of the internal os of the cervix (the entrance to the cervical canal) does not choke and does not overlap with a part of the placenta in case of low previa. On aphids of low placenta previa, natural canopies are possible. The Danish variant of pathology is the most sympathetic in terms of looking at the development of complications and vaping.For the results of ultrasound, more and more often the remaining fates for clinical practice obstetricians go to the point of not being seen, and the stage of placenta previa under the hour of vagity, which is grounded on the magnitude of the overlap of the inner opening of the cervix. Today, according to ultrasound, the following stages of placenta previa are seen:
- I step- the placenta is located in the region of the lapel of the cervix, and the edge of the distance from the throat is not less than 3 cm lower (mentally, it indicates a low placenta previa);
- II step- The lower part of the placenta is ripped literally at the edge of the entrance to the cervical canal, but does not overlap the yogo (mentally, it shows the uneven placenta previa);
- III stage- the lower part of the placenta crosses the entrance to the cervical canal completely. In this case, a greater part of the placenta is spread on the same one wall (anterior or posterior) of the uterus, and there is less than a small gap closes the entrance to the cervical canal (mentally, in case of complete placenta previa);
- IV stage- the placenta is completely ripped on the lower segment of the uterus and it distorts the entrance to the cervical canal with its central part. In case of this, on the anterior and posterior walls of the uterus, however, parts of the placenta are rotting (mentally, it suggests a complete placenta previa).
In addition, the clinical classification of placenta previa was called the last hour of victory, based on the appointed її roztashuvannya in the process of intercourse when the cervix is 4 cm and more. On the basis of the pіhvovy dіslіdzhennya pіd pologіv pologіv vіdіlyayuyut such vip placenta previa:
- Central placenta previa (placenta praevia centralis);
- Lateral placenta previa (placenta praevia lateralis);
- Craiova placenta previa (placenta praevia marginalis).
Central placenta previa
In this case, the entrance to the cervical canal from the side of the uterus is overlapped by the placenta, when smeared on the surface with a finger, introduced at the pharynx, the drug cannot be used to designate fetal membranes. Natural canopies with central placenta previa are impossible, and the only way to bring a child into the world in such a situation is caesareans. Mentally seeming, central placenta previa, as indicated by the first hour of the first half of the next half hour, in full, as well as the III or IV stage for the results of ultrasound.Lateral placenta previa
In this case, during the course of the follow-up examination, the doctor identified a part of the placenta, which closes the entrance to the cervical canal, and a short fruit tunic, which is in charge of it. Lateral placental previa, which is attributed to the pіhvovim doslіdzhennyam, vіdpovіdaє for the results of ultrasound is not clear (partial) or II-III stage.Craiova placenta previa
In the course of the lіkhvovogo doslіdzhennya, the doctor shows only short fetal membranes, which protrude at the lumen of the cervical canal, and the placenta grows out of the edge of the internal os. Craiova placenta previa, which is attributed to the pіhvovim doslіdzhennyam, vіdpovіdaє for the results of ultrasound is not clear (partial) or I-II stage.Posterior placenta previa (placenta previa on the posterior wall)
Denmark became known as a depression of a non-povial or low deposition, in which the main part of the placenta is attached to the posterior wall of the uterus.Anterior placenta previa (placenta previa in the anterior wall)
Tsei camp is also known as a depression of a non-povial or low deposition, in which the main part of the placenta is attached to the anterior wall of the uterus. Attachment of the placenta to the anterior wall of the uterus is not a pathology, but a variant of the norm.In most cases, anterior and posterior placenta previa are indicated by the results of ultrasound up to 26 - 27 days of pregnancy, but with a stretch of 6 - 10 days you can migrate and come to a normal state until the moment of flattening.
Placenta previa - causes
The placenta is formed on the dilatation of the uterus, where the fruiting egg is attached. If the egg is attached to the lower wall of the uterus, then the placenta will form itself at this part of the organ. The place for attaching is "selected" by a fertile egg, moreover, it looks like such a nest of the uterus, it is the most friendly mind for yogo survival (good endometrial tovst, good newborn and scarring). If the greatest endometrium, for whatever reason, leans in the lower segment of the uterus, then the fetal egg will attach itself to it, and eventually it will lead to placenta previa.The reasons for the attachment of a fruiting egg in the lower segment of the uterus and the distant formation of the placenta previa are associated with various factors, as a fallow due to the cob nature, it can be divided into two great groups:
1.
Maternal factors (deposit in the female);
2.
Plodni factori (to lie in the features of the fruit egg).
Mother factories- certain pathological changes in the mucous membrane of the uterus (endometrium), which were formed during the inflamed congestion (endometritis lean) or intrauterine manipulations (abortion, diagnostic hysterectomy, caesarean rupture). Fertility factors - a decrease in the activity of enzymes in the membranes of the fruiting egg, which allows it to be implanted in the uterine mucosa. Due to the lack of enzyme activity in the fruiting egg, the bottom and walls of the uterus "slip" and only implant in the lower part.
In the present hour before the uterine causes of placenta previa, the following should be done:
- Be-yakі operative vtruchannya on the mother in the past (abortions, caesarean rosets, removal of myomy, etc.);
- Canopies that flowed with folds;
- Anomalies of the uterus;
- Underdevelopment of the uterus;
- Іstmic-cervical insufficiency;
- Bagatoplіdna vagіtnіst (dvіynya, triynya skinny);
- Endocervicitis.
To fruitful reasons Placenta previa includes the following factors:
- Inflammatory disease of state organs (adnexitis, salpingitis, hydrosalpinx toshcho);
- obstetric obstetric anamnesis (abortion, diagnostic miscarriage, folding canopies in the past);
- Transferred to the past, whether it be operatively vtruchannya on the mattsі;
- Neuro-endocrine disruption of the regulation of menstrual function;
- Underdevelopment of state bodies;
- Ignition of ailment of state organs;
- Myoma of the uterus;
- endometriosis;
- Pathology of the cervix.
Diagnosis of placenta previa
Diagnosis of placenta previa can be based on characteristic clinical manifestations or on the results of objective observations (ultrasound and bimanual examination). Signs of placenta previa are:- Bloody visions of stately paths in a bright-red color with a lot of painless and relaxed matts;
- High standing of the fundus of the uterus (an indication more than that which is typical for this term of vaginess);
- incorrect position of the fetus in the mother (pelvis overlying the fetus or transversely rotting);
- The noise of the blood stream along the vessels of the placenta, which is clearly distinguished by the doctor during auscultation (listening) of the lower segment of the uterus.
Since it is impossible to perform an ultrasound scan, then in order to confirm the diagnosis of placenta previa, the drug should be carried out even more carefully, more accurately, and more carefully. In case of placenta previa with the fingertips, the gynecologist examines the spongy tissue of the placenta and the short membranes.
If a woman has clinical manifestations of placenta previa during the day, then the pathology is asymptomatic, it is revealed at screening ultrasound examinations, if it is carried out obov'yazykovo at 12, 20 and 30 days of pregnancy.
On the basis of these ultrasound scans, the doctor makes a decision about those who can carry out further investigations with the woman. If placenta previa is external, then the standard gynecological double-handed obstezhennia cannot be carried out, for everyday conditions. For other types of presentation, it is less possible to carefully protect the woman through the pikhva.
Ultrasound diagnostics
Ultrasound diagnostics of placenta previa in this hour is the most informative and safe method for detecting this pathology. Ultrasound also allows you to specify the type of predilection (outer or chastkove), to measure the area and the body of the placenta, to designate the structure and the appearance of the placenta, which is the same. In order to determine the various characteristics of the placenta, including preposition, ultrasound should be carried out with a moderate amount of sich mikhura.If placenta previa is detected, then periodically, with an interval of 1-3 days, an ultrasound scan is performed to determine the rate of migration (movement by the walls of the uterus more). To determine the position of the placenta and assess the possibility of conducting natural canopies, it is recommended to conduct an ultrasound scan on the upcoming terms of pregnancy - in 16, 24 - 25 and 34 - 36 days. However, even if it is possible, then ultrasound can be very effective.
Placenta previa - symptoms
The main symptom of placenta previa is painless bleeding from the ducts, which is periodically repeated.Bleeding with placenta previa
Bleeding in case of placenta previa can develop in different terms of gestation - starting from 12 days to halfway, but most of the stench occurs in the other half of the pregnancy due to a strong stretching of the walls of the uterus. In case of placenta previa, bleeding up to 30 days is indicated in 30% of women, in the term 32 - 35 days it is also in 30%, and in 30% of women who have lost it, the stench is announced after 35 days or on the cob of labor. Zagalom with placenta previa, bleeding during pregnancy is observed in 34% of women, and a flat period - in 66%. For the rest of the 3-4 days of pregnancy, if the uterus is especially strongly contracted, bleeding may increase.Bleeding in case of placenta previa is associated with frequent ruptures, which are caused by the expansion of the uterine wall in the world. When you see a small placenta placenta, they are bare judges, with some coils of bright-red blood.
Bleeding in case of placenta previa can be caused by various factors, such as superficial physical stress, severe cough, postoperative withdrawal, sauna exposure, static contact, defecation with strong strain, etc.
In the form of placenta previa, the following types of bleeding are seen:
- Raptova, that painless bleeding, which often occurs at night, if the woman is literally "in the blood" is typical for total placenta previa. This kind of bleeding can start just as quickly as it started, otherwise it will continue in the form of miserable visions.
- An ear of bleeding on the remaining days of pregnancy or a half hour is characteristic of placenta previa.
Varying recurrence of episodes of bleeding with placenta previa, in vaginal women with pathology, anemia is almost always pronounced, lacking volume of circulating blood (BCC) and low arterial pressure (hypotension). These non-specific signs can be considered as symptoms of placenta previa.
Also indirect symptoms of placenta previa are the following signs:
- improperly lying fetus (oblique, transverse, sidnichne);
- High standing of the bottom of the uterus;
- Listening to the noise of blood in the vessels is less on the level of the lower segment of the uterus.
What is the threat of placenta previa - can be aggravated
Placenta previa can be threatened by the development of such complications:- Threat of pregnancy interruption;
- Vaginal deficiency anemia;
- incorrect rotting of the fetus in the mother (oblique or transversely);
- Pelvic chi sheath of the fetus;
- Chronic fetal hypoxia;
- stuttering the development of the fetus;
- Fetoplacental insufficiency.
Preeclampsia in case of placenta previa is not possible to completely invade another trophoblast in the endometrium, shards in the lower segment of the uterus, the mucus membrane is not enough slit for penetration of the additional villi. In order to disrupt the normal growth of the placenta with її probable provoking gestosis, which, at its core, strengthens the severity and increases the frequency of bleeding.
Fetoplacental insufficiency is caused by the fact that the blood supply of the lower segment of the uterus is seen low and low with the bottom or body, due to which there is insufficient blood flow to the placenta. The poor blood flow confuses the lack of sourness and the lifeless speeches that reach the fetus and, therefore, do not satisfy your consumption. On the aphids of such a chronic deficiency of sourness and life-giving speeches, hypoxia and fetal development are formed.
Zalizodeficitna anemia is accompanied by periodic bleeding, which is constantly repeated. On the background of chronic blood loss in a woman, anemia, there is a deficiency in the volume of circulating blood (BCC) and a factor in larynx, which can lead to the development of DVZ-syndrome and hypovolemic shock in half an hour.
Incorrect placement of the baby or the pelvis is predetermined by the fact that in the lower part of the uterus there is no sufficient space for the placement of the head, the shards of it appeared to be occupied by the placenta.
Placenta previa - the principles of jubilation
It's a pity that a specific lure, a custom-made change of the placenta is attached to the placenta in the mother, at this time it is not available. Therefore, the therapy for placenta previa is directed to the reduction of bleeding and preservation of pregnancy as long as possible - ideally, to the term.In case of placenta previa with a protracted pregnancy rate, the woman is obligated to take care of the protective regime, directed to the exclusion of various factors that cause bleeding. Tse means that women need to be physically motivated, don’t streak and drive on a shaky road, don’t fly on a fly, don’t have sex, overcome stress, don’t take on heavy burdens, etc. At a good hour, they lie on their backs, throwing their legs uphill, for example, on a wall, table, back of a sofa, etc. The position "lying on your back with your legs up" should be accepted for being able to do so, just to sit on a chair, in an armchair, etc.
After 24 days, as bleeding is unsettled and self-inflicted, the woman is guilty of taking conservative care, directing to save vagity up to 37 - 38 days. Therapy of placenta previa is more effective in the presence of advancing drugs:
- Tocolitis and antispasmodic preparations to improve the stretching of the lower segment of the uterus (for example, Ginipral, No-shpa, Papaverine toshcho);
- Preparations for treatment of anemia (for example, Sorbifer Durules, Ferrum Lek, Tardiferon, Totema toshcho);
- Preparations for fetal hemorrhage (Askorutin, Kurantil, Vitamin E, folic acid, Trental thinly).
- internal injection of 20 - 25% magnesia, 10 ml;
- Magne B6 2 tablets per day;
- No-shpa 1 tablet trichi per doba;
- Partusisten 5 mg chotiri razi per day;
- Sorbifer or Tardiferon 1 tablet per day;
- Vitamin E and folic acid 1 tablet three times a day.
For treatment of fetoplacental insufficiency and prevention of fetal hypoxia, the following should be done:
- Trental is administered intravenously or is taken in the form of tablets;
- Curantyl take 25 mg 2-3 times per doba a year before meals;
- Vitamin E take 1 tablet per day;
- Vitamin C take 0.1 - 0.3 g of trich per doba;
- Cocarboxylase is administered intravenously 0.1 g per glucose level;
- Folic acid is taken internally at 400 mcg per doba;
- Take Actovegin 1-2 tablets per doba;
- Glucose is administered intravenously.
If, in case of placenta previa, it develops strongly, it bleeds heavily, if you don’t know how to protract a decal period, then an emergency caesarean roztin is carried out, which is necessary for the recovery of a woman’s life. In such a situation, one should not think about the interests of the fetus, but the test of saving pregnancy on aphids, severe bleeding with placenta previa, led to the death of both children and women. Emergency caesarean roztin with placenta previa is carried out for such indications:
- Repeated bleeding, with any amount of blood that is used, become more than 200 ml;
- Regular miserable blood loss for aphids, severe anemia and low arterial pressure;
- Simultaneous bleeding, with any amount of blood used, become 250 and more ml;
- Bleeding with total placenta previa.
Canopies for placenta previa
In case of placenta previa, the curtains can be placed both through natural paths, and by the method of caesarean surgery. The selection of the birth method is determined by the woman's and the fetus's status, the presence of bleeding, as well as the type of placenta previa.Caesarean rosetin with placenta previa
Cesarіv roztin with placenta previa during the given hour is carried out in 70 - 80% cases. Indications for caesarean rupture in case of placenta previa are the following:1. External placenta previa.
2. Inconsistent placental previa, which goes with pelvic previa or abnormal fetal growth, a scar on the mother, rich vaginismus, rich veins, narrow pelvis, for a woman older than 30 births and obese obstetric anamnesis (abortion, gynecology);
3. Uninterrupted bleeding with a volume of blood loss greater than 250 ml with any appearance of placenta previa.
Although the indications for caesarean rupture are daily, in case of placenta previa, it is possible to carry out canopies through natural paths.
Canopies through natural paths
Canopies through natural paths with placenta previa can be carried out in such slopes:- Daily bleeding, or a blemish after a rosette of fruit michur;
- Ready to flatten the cervix;
- Regular essences of sufficient strength;
- Headache of the fetus.
Sex and placenta previa
Unfortunately, sex with placenta previa is a contraindication, splintered friction of a member can provoke bleeding and placental rupture. However, with placenta previa, contraindications are not only classic vaginal sex, but also oral, and anal, and masturbation, oscillating the state of awakening and orgasm lead to a short-hour, or even intense, contraction of the uterus, which also provokes a placental hemorrhage.Today, we are more detailed about the diagnosis, which is a lakaє of all future fathers -. Previously, we already spoke about the role of the placenta for the mother of the child, but the placenta previa needs to be considered with special attention.
The placenta is an important organ for an easy increase in vaginess; Normally, the regional placenta is guilty of being in the region of the bottom of the uterus, as it is known to the animal, and not to distort the ziv - vkhid. The placenta, as a rule, creeps up to the uterus in the months with the greatest blood circulation, which is logical - a good blood circulation is needed for eating children and life.
The same term is used - migration of the placenta, as it is possible to increase the size of the uterus with an excess of slopes. With marginal placenta previa in early terms, there is a chance that it will not develop in the growth of the uterus. And if something didn’t happen, and the regional placentation was saved, then the mother needs to know more about it.
Craiova placentation with pregnancy - can lead to the fact that the placenta, perebuvayuchi on the path of the fetus to the uterine opening, is twisted. In this way, the natural process is interrupted, and the stench can become unbearable, and the bleeding that is exhaled can become fatal, both for a mother and for a child.
The placenta previa is characterized by the fact that the placenta is distorted by the lower edge, and the mortality rate with such placentation, as before, is 7 to 25 cm.
The reasons that cause regional predilection can be related to the health of the mother by the development of the fetus. Tilki obstezhennya dopomozhenya accurately z'yasuvat, what exactly causes the pathology.
How do you understand what the regional placentation is?
1. Bleeding - for no reason or caused by insignificant causes of bleeding for real - a sign of placental bleeding, so be it bloody vision, it is necessary to tell the doctor about it
2. - to talk about those who in the future mother as a whole can have constant bleeding, like they add hemoglobin to the rіven
Craiova placentation can be diagnosed only if a complete history of vaginal disease is taken, so that this pathology can be easily identified in the simplest ways.
IT IS IMPORTANT TO REMEMBER: Defects in the development of the placenta, and navit її roztashuvannya - not a fatal diagnosis, and the zone of risk is advanced. With such a diagnosis, the future mother, as a rule, is seriously guarded that it helps to calm down for a few hours. Therefore, it is important to make a diagnosis ahead of time and we are preparing.
Craiova placenta previa in the anterior and posterior walls: what does it mean, what is unsafe, forecasts
In the development of pregnancy and life of the child, which is developing, the main role is played by the placenta - the child's place. Ale, for whom won, she herself can form correctly. Home placenta previa is more often seen in another trimester of gestation, if the organ fills its residual appearance.
In obstetrics, there is a distinction between the anterior and posterior walls of the uterus. Which of the options is unsafe, lower threatens children, what is the possibility of correcting the situation, we look below.
- Placenta, functions and functions of the thymic organ
- Change the hour of gestation
- Options for rotting a child's breast
- What is placenta previa
- Diagnostics
- Craiova overdue on the back wall
- Chim not safe for mami that fetus
- Forecasts
- Craiova overdue on the front wall
- What threatens children and women
- Forecasts
- How to go through the canopies
- Indications for caesarean section
- Why is intimate life fenced
- Chi can you raise a child for help right
- Celebration
- Visnovki
Chim є placenta and yakі zavdannya vykonuє
How to go through the curtains at the marginal rotting of the last
Roztashuvannya after the posterior wall is not contraindicated to independent slopes. On scho respect respect:
- daily bleeding;
- sufficient tone of the uterus and regularity of essences;
- soft neck, which is correctly opened;
- rotting the fetus in the womb (optimally head down).
Natural canopies with marginal placenta previa along the anterior wall become the most folding. It is important here that symptoms of bleeding during the gestation period were guarded. Anterior bedding is not safe, the risk of placental death is low, the development of hypoxia and fetal death. In case of small bleeding, mild shyness and active attempts, an amniotomy is carried out - roztin of a navcoloplid michur. Manipulation to lead to the lowering of the fetus in the lower ventricle, which allows you to press the placental tissue to bleed. Introduced oxytocin, shcho diy, like a blood spinal zasіb and a stimulant of generic activity. If bleeding does not occur, an emergency operation should be carried out.
If cesarean is indicated
Caesarean roztin with marginal placenta previa may have specific indications:
- blood loss in the period of gestation or in case of birth with a total of 300 ml;
- outer blockage of the uterine os;
- due to marginal deposition with an unfavorable anamnesis: episodes of innocence, multiple abortions, earlier uterine resections were performed;
- due to bedding with richness, pelvic or leg rotting of a child in the womb.
After that, rotting along the posterior wall, do not suffer during surgical insertion, so the canopies go through safely and with less blood loss in the case of placental removal. Vtruchennya when rozashuvannya last on the anterior wall of the case due to hypoxia in the fetus. For mothers, such a camp is covered with significant blood loss and more trivaly inspirations.
For obvious absolute indications, if there is a daily bleeding, operative measures should be carried out at the scheduled time of 39–40 days. In case of a threat, a caesarean is delivered at 36-. It is necessary to carry out prompt work, violating the rule: the life of the parents is a priority.
Sex under the fence?
Speaking of those who cannot work with placenta previa, one cannot miss the intimacy of life. Women with such a pathology of indications are absolutely calm. Moreover, under the fence, not only have sex at the knee-elbow position, but on the legs, follow oral, anal penetration. It is not recommended to induce masturbation, sexual arousal oscillators, if you look like a rhythmic contraction of the uterus, but it will not provoke the placental discharge and increase the tone. Like a couple praying for a healthy child, such sacrifices are necessary.
Chi іsnuyt right for pіdnyattya poslіdu іn krai prodlyadnі
As a rule, women in such a situation should be encouraged to keep calm: do not get nervous, sleep for 8-10 years, walk more in the fresh weather, do not take on heavy burdens. In some cases, to do special gymnastics, but in case of marginal predisposition, it’s not possible to squeeze onto the placenta so that it rises. The stench is aimed at reducing the bleeding of the low placenta and raising the pressure, which is even worse when it is crushed.
What can be done:
- right "intestine" to be carried out crustaceans with alternating progina and vaginal back;
- stretching 5-10 strands of sprat once a day lie in the “birch” position (with raised legs, which spire on the wall);
- wearing a bandage is indicated, especially in the third trimester.
Mustache has the right to be guilty without straining that unacceptable attention. But don’t forget to clarify the pardons of ultrasound diagnostics carried out on early terms.
Medical treatment with marginal attachment
Special therapy, building to help raise the placenta, no. All come in with direct attention to the prevention of fetal hypoxia, the prevention of bleeding and the maximum saving of pregnancy. The jubilant tactic is offensive:
- Tocolytics - preparations that will help to reduce the contraction of the malignant wall, tighten the placenta more from the internal throat. One can see them: No-shpa, Papaverine.
- Costs to improve blood circulation in placental tissue: Curantyl, Trental, folic acid.
- With the development of anemia, prescription medications are prescribed: Ferum-Lek, Sorbifer.
- In case of threat of withdrawal of indications Utrozhestan in candles.
With the development of complications in apparently systematic, but small bleeding, an internal injection of magnesia is indicated.
In case of massive bleeding due to inoculation, the drug should be administered internally dropwise. Therapy is due to be carried out by stretching the last term of gestation.
Visnovki
Craiova roztashuvannya placenta cestan, the etiology of which is not known until the end. For the new characteristic asymptomatic development at the cob stages of vaginess and aggravation in the pre-maturity period. Ale overdose - tse virok. Timely manifestation, constant control and preventive care help women to give birth to a healthy baby. It is possible, for the sake of this varto, for some hour to sacrifice to intimate life, moving from a litak and a child to the sea, and then enjoy the joy of motherhood.
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Don’t forget the happy hour of the baby’s recovery without a hangover, sometimes the future mother will be brought to close with these other problems already at 12 vagity. One of the possible complications is placenta previa, which is incorrectly attached to the wall of the uterus. Ideally, the placenta is fixed by the placenta, but the most important point of the uterus is far from the entrance to it. Attachment of the placenta to the lower part of the uterus, to the cervix, is wrong.
Doctors should have consultations for women in 0.2-0.9 years of pregnancy, but with constant control over the woman and the fetus, which may be on the verge of that necessary exuberance, we can avoid the worsening of the situation of such incorrigibility. Placenta previa is diagnosed more often from 12 to 20 days of pregnancy, and in the third trimester, the placenta of this important childbearing appendage is normalized. The earlier a woman goes to the appearance of a gynecologist, the more chances she has to feel about predilection, shards in early terms (12 days) appear to be 20 to 30 years old.
Possible reasons that lead to overdue may be impersonal:
- change the endometrium after the caesarean rupture, other operations and dosledzhen, in the course of which there was a mechanical infusion on the uterus;
- due for anterior vaginess;
- rich vagity;
- the number of front curtains is large;
- growth of the placenta due to non-acidification in the body of the woman;
- shkіdlі vіchki vagitnoї, for example, prihilnіnіnі to nicotine;
- pіznya vagіtnіst - vіd 35 roіv;
- living in high mountains.
Pre-stemly establish the cause of the overdose of this large number of anomalies without going into it. However, most of the complication is manifested at the age of 12 to 20 years of pregnancy in women who have experienced an abortion, burned in the mother. In the risk group, patients are rebuked, they may have a scar or myomectomy on the walls of the uterus, if the placenta grows right next to the non-ear tissue.
Yakim can be more complicated
Zustrichayutsya so see placenta previa:
- central - outside;
- chastkove - not new;
- low;
- Shiykov.
Placenta previa is also subdivided into subtypes:
- bichne - the placenta passes from the posterior wall to the anterior one and crosses the uterus by 2/3;
- edge - the lower edge of the placenta overlaps less than 1/3 of the entrance of the uterus.
Externally, placenta previa conveys that internal ziv, tobto. the entrance to the uterus is blocked completely. With partial placenta previa, more than a part of the inner part of the entrance is twisted, instructing the fruit membranes to be visualized. Rіdshe zustrіchaєtsya povne predlyazhennya, itself behind the new placenta intersects in the middle of the uterine zіv. Not exactly overlying, and ahead of the region, not an absolute transition to natural canopies, the shards do not close the entrance to the uterus, and the child can be deprived of it independently.
A low placenta is important at the time of the middle of the lower edge below 6 centimeters from the eye. Ale, in practice, about the low position of the placenta, it is possible to enter in that fall, if the lower її edge of the expansion is two centimeters away from the viscera along the inner wall of the uterus. Rarely, the placenta may begin to develop in the area of the uterine isthmus or canal, and if so, a cervical placenta will be diagnosed.
Whether any kind of placenta previa is most commonly used in the early terms of pregnancy, as a rule, on the 12th day. At this hour, the placenta is called my scientific chorion. And the axis of partial predilection is less close to flat, at the same time from the expansion and expansion of the cervix. After 20 days, the placenta rises in the majority of depressions, and before the ninth month of pregnancy, the placenta returns to normal in 90% of the depressions. With the help of which, more and more often, the placenta is taken in the normal position, as if it was not folded along the back, but along the front wall.
Symptomatology, diagnostics and consequences
For most of the vipadkivs, they don’t see any calls to themselves, but it’s necessary to know the symptoms of the aggravated one, and on the vapadok of theirs, I’ll show up negainally to the doctor, so that I recognize the likuvannya. The main and smutty middle symptoms are bleeding from the pihvi, which started uncontrollably, but it is not accompanied by pain sensations and is also raptly attached, like it started. When there is blood, the uterus may appear, and sometimes it can appear in the abdomen, similar to the transition. Most often, these symptoms appear on the 20th day of pregnancy and later, in the other half, and bleeding may occur in the mother's place and on the 12th day of pregnancy, and sooner. The sight of blood is threatening a wicked day, so it is necessary to respond promptly.
As a rule, placenta previa is shown on the 12th day, if the woman goes for ultrasound. To avoid the terrible consequences of placenta previa, it is important to diagnose and put the situation under medical control. The main method of diagnosis is follow-up by ultrasound, and the found results are given vaginally by a special sensor. Bigger hibnim є obstezhennya, yak be carried out along the cherevnіy stіntsi. Also, doctors carry out digital examinations, but this method in itself is not safe for an easily irritable placenta, because. can provoke її vіdsharuvannya that bleeding.
Only close to 20 women from pre-existing women do not show symptoms and complications and do not stumble with bleeding. The severity of the symptoms can be of a different degree - from weak to very strong, but in a be-yak manner, showing to talk about the problem. , which provides the child with all the necessary, thinned, torn, the lint breaks through it, the winds settle down, through which the appendage and the baby itself are eaten.
In such a rank, overdue can be threatened with such:
- bloody and shocked woman;
- child hypoxia;
- vіdsharuvannyam placenta and front canopies;
- pyslyapologovym inflamed uterus;
- congenital anomalies of the newborn, low vaga, zhovtyanichkoy, damaged by the breath and other breaths at the rose;
- I will not die, or the breed will be born at a low hour.
Control over pregnancy and birth options
Vrahovyuchi, naskіlki serious can be the legacy of placenta previa, for the duration of the woman's vaginess, the necessary post-mortem control is a medical precaution and likuvannya, right up to birth. The frequency of seeing a gynecologist is dependent on the term vagity, so, obviously, nothing is turbulent. Zagalom, caution at the woman's consultation does not seem to be planned due to the extreme vacancy:
- from 12 to 20 days - once a month;
- starting from another trimester, after 20 days - two for a month.
The foldedness of the situation is stale by the singing world, in view of the fact that placental previa is suspected along the posterior or anterior walls of the uterus. Concern for the vagity of the disease in the post-placental obstructed placenta, the assessment of bleeding and the infected state of the woman and the fetus, which should be carried out for help:
- Ultrasound - for the help of yoga, the attachment of the placenta to the anterior or posterior wall of the uterus is exactly restored;
- looking around with mirrors;
- evaluation of the results of global analyzes of vaginal
Likuvannya in case of predetermined May on the verge of the necessary fluctuations, so come in:
- transfusion of blood in women in small doses;
- taking antispasmodic and tocolic drugs;
- recognition of hormonal effects for the normalization of utero-placental bleeding, promotion of blood pharynx and stenosis of the vessel walls;
- implantation of sedative preparations: dog's nettle, valerian and in;
- prevention of endometritis and fetal hypoxia.
The most safe period of pregnancy is the first trimester, which lasts up to 12 weeks, but with placenta previa, it is important not to inflict increased pilarity and pressure. If the predilection occurs on the 20th of December and up to two months later, then with proper control, the necessary care and pretreatment of medicinal infusions, there is a high likelihood that the placenta will take a normal placenta rosacea on the walls of the uterus. If it’s not like that, if you see bleeding, then it’s negligently necessary to call the shvidka. In times of re-bleeding, it becomes necessary to post-medical care in the walls of the hospital, right up to the slopes. Only in this way you can escape a strong blood loss, expelling the placenta and all the traces that you exhale.
If until the 36th day of placenta previa is abandoned, then the doctor will be denied food for hospitalization and birth. In this rank, lying down at 38-39 years of age is indicated for a caesarean section. Zvichayny canopies in foldable slopes are not only contraindicated, but they are aggravated by folded ones. Outside the central placenta previa after 20 days and in other terms - a cestological indication for a planned caesarean birth, shards of a child's natural path cannot leave the uterus through the placenta. What is more risky and severe bleeding, then an operation is prescribed urgently, regardless of the term of pregnancy.
When known in the home minds, the woman is guilty of taking the advice of the doctor strictly, in order to avoid the placenta and bleeding. As a rule, no medical treatment guarantees the same treatment for the migration of the placenta on the buttocks, especially if it is fixed on the back wall. Vipraviti or wanting not to complicate the bed rest, rich in protein and eat food, more fresh air, morning in sexual contacts, in emotional and physical pressure, in the form of gymnastics for women. In some regions, placenta previa will require additional intake of multivitamin preparations. Lateral and marginal placenta previa, not covered by bleeding, can be treated in outpatient minds.
What can you do to prevent abnormalities of the placenta?
You can play it safe for a long time, having spared yourself the pain of life, as a rule, you start at 12 weeks of pregnancy and up to 20 days - if the placenta is in the middle. Prevention of placenta previa will be the right way of life, in which there is no place for abortions and other traumatic uterine walls, implantation. Therefore, I used the method of victorious contraceptive use, suvoro control of reproductive activity. Likewise, the following should be carried out in their own time in advance of that exaltation of the ailment of state bodies.
Particularly, the severity of the trace is manifested in the nutritional advancement of anomalies of the placenta for women, if they enter the risk group - in women of age 35, they were re-examined, which already had a similar diagnosis. Even if there are hormonal imbalances, pregnancy needs to be planned not earlier, such changes will be adopted. But in times of ideal health, the woman will be able to turn off the placenta previa not to go, but the cause of the anomaly can be found in the peculiarities of the present egg. In this case, it is less likely to be trusted by doctors, to change under their non-sibling control and, perhaps, in terms of 12-20 days, until the beginning of the third trimester, the placenta will take a normal camp. In case of any type of depression, in case of regional predilection, you can safely give birth independently under the supervision of informed obstetricians.
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Submit your requestNutrition and advice on: placenta previa on the posterior wall
2015-08-26 00:41:31
Request Elya:
Hello, the term of pregnancy is 34 days (on the day of the rest of the month) growth is 164, the weight of 13 days is 60 kg, on this day 70 kg. I had 33 bula at the reception of my doctor, it didn’t work out, for 3 days I gained 3 kg, as well as my slight bumps in my feet, although I didn’t squirm, I don’t have varicose veins. Before that, all analyzes (cardiogram, smears, blood, slash) and ultrasound are normal, vice 110/80, the child for її words will be 3,600. The doctor could not hear a heartbeat through the battery, what power is in the device! - everything is normal ... Ale, they prescribed to drink Tivortin 10 ml 3 times on day 2 of the month, they explained that for the uniqueness of the baby's acid starvation. I read the instructions, honestly, it seems, take it easy. for all the vagіtnіst there were only a few vitamins, she felt good for herself. Until then, it is not clear how my normal pressure will behave after I receive it.
Today I decided to go for an ultrasound scan, the result of the attacks:
late fetal position, smut overlay, heartbeat rhythmically 135 beats / min, 4-chamber heart view, fetal circulation.
BPR 86 mm, LZR - 104 mm, Cranial index: N, SDJ N, DB-66 mm, SDGK N, The number of navcoloplidnyh waters is normal, Vertical diameter of navcolousnyh waters is AF 50mm, placenta along the posterior wall, uterine fundus. Placental maturity stage 3, placental thickness 38 mm, no pathological inclusions. The umbilical cord in the projection of the fetus is not visualized, in vessels 3, it is visualized. VVR at the time of obstezhennya not detected. The tone of myometrium is normotonus.
Dopplerogram: S/D - 2.97 IP - 0.66
Biophysical profile of the fetus - 8 points
The activity of the fetus rukhiv - 2b.
M'azovy tone of the fetus - 2b.
Number of rainy waters - 2b.
Dihalni ruhi - 2b.
Visnovok: B 34 tizhniv, smut predlyazhenna Prematurity of the placenta.
I phoned my doctor, she appointed Normoven as an additional supplement to Tivortin ... she said for the placenta ... Control of CTG once a week (I'll wait with CTG).
I’m in a state of confusion in view of such a diagnosis, I shoveled a bunch of super-smart information about qi preparations, take such a burden and it’s scary for my daughter ... Vdyachna for an independent thought fahivtsya from my situation.
Vidpovidaє Paliga Igor Evgenovich:
Hello Elyu! Tivortin can be used in cases of vaginess, but it should not be repaired and is prescribed for hypoxia. I, apparently, do not take the indication before the recognition of the preparations, I can not testify virtually, or I do not have the right to recognize the drug. One thing I can say for sure - CTG is necessary. With increasing hypoxia, you should be sent to the hospital.
2012-12-13 11:36:51
Ask Kristina:
Hello, I am reaching out to you for a consultation. On the right in that I cannot put the residual term of vaginess. Menі 21 roki, first pregnancy, at the time of conception there were 20 roki. Abortive buv.
The first day of the last menstruation is March 5th, 2012, but I am convinced that conception could not have happened, since I had sex only after the 10th.
On the first SPL (July 17, 2012), the term was set for the month-14th day 6 days, and for the results of the ultrasound-13th day 3 days.
On another ultrasound (December 9, 2012) term for the month 22 and 3 days, and the axis of the ultrasound result:
BPR 48mm;
LZR 61mm;
OG 176mm;
coolant 148mm;
DB / coolant * 100% = 21.6%
Dovzhina quilting right-handed and zlіva 32mm;
Dovzhina gomilki right-handed and left-handed 28mm;
Dovzhina shoulder brush sp. sl. 30mm;
Dovzhina in front of the sp. sl. 26mm;
Dovzhina nasal brush 7.8 mm;
Thickness of the neck fold (up to 21 pieces) 4.5 mm;
Heart rate 134 beats per minute;
Vіdstan in the lower edge of the placenta to the inside. opening 70mm;
Thickness of the placenta 24mm;
0 stage of maturity;
Amniotic index. rіdini 148mm;
Umbilical cord 3 judges;
Dozhina of the cervix 36mm;
Localization of the placenta on the posterior wall;
Late position, pelvic overlay.
Ridge raztashuє. for 8 years.
Gender girl.
Visnovok is 19-20 days of pregnancy, and according to the first ultrasound, it may be 21-22 days.
Chi tse can be hindered by the internal development of the fetus?
Vidpovidaє Gritsko Marta Igorivna:
Everything is correct, for the term go 22 tizh., For the data of ultrasound 20 tizh. Were the results of the combined and repeated tests normal? If so, then do not boast, it is necessary to evaluate the situation in dynamics. I don’t think it’s a stutter of intrauterine development. Pass a control ultrasound for a month.
2012-07-04 05:08:12
Ask Venus. :
Hello doctor. Please help! Today we have 32 days for ultrasound. Be kind, unscramble. Is everything okay with me? I definitely didn’t say to become a child, the girl said more, so who will be?
Overdue: smut. Position: late.
SOG 149; SRU after 3s. BPR/OG: 81/291.
SJ 270. dB 61. PMP: 1773g (32cm)
Navkoplodni water: 55mm.
Localization of the placenta: along the back wall.
Maturity level: 1 Maturity level
Thickness of the placenta: 35mm.
Recommendations for ultrasonic caution: wrapping around the neck.
Visnovok: Vagіtnіst 32 tyzhnі. Tempi development of the fetus - posterior view.
Vidpovidaє Dika Nadia Ivanivna:
Who will be? Be a child! I can’t tell the truth, for those who need a glance. If you can’t figure out the doctor’s handwriting, then don’t guess your own diagnoses, better sleep. You will be given advice, give an explanation, but do not write a fool. Those that are written are within the norm for such a term. I respect what is more important, that the child was healthy, and to become - let it be a surprise at the end of the day.
2012-05-15 03:22:08
Ask Olena:
On the 17th day on the ultrasound scan, they said that the lower edge of the lower edge reaches the region of the internal throat, on the 27-28th day I am guilty of flying on the fly 3.30 thin, no more no breath, no tone, no neck of the neck 50 mm of no material closed on the blood on the back wall, can I fly? Having accepted all the faces of calmness about every change, vkasol noshpu magne, for three years, can you get better? You need to fly. How do you think?
Vidpovidaє Dika Nadia Ivanivna:
It is impossible to predict ahead. Craiova placenta previa є unsafe - bleeding, but it can lead to the death of a child. Crimean bleeding under the hour of vagity, unsafe for the life of the woman herself. It’s even harder and in a shorter period of an hour, you may not be able to help. Prote, one feature is characteristic of the placenta: migration, tobto. you can rise up, but wait. Ultrasound control is required. The placenta, as it is important to diagnose by the posterior wall, can be progayat (not everything is looked through technically) ... At the hour of the vagity of the trip, the transition, especially in the speca of the rock, is very important for the immune system of the woman and the child. Say, be kind, where the sea will rise from you, etc., isn’t life important? Can't you be so angry with a child and your health? And so much more... It's not necessary to have placenta previa... Trust me! Everything that doesn’t trapleyatsya everything on the brightest, it means that it’s necessary to burn. Do think.
2016-04-07 10:46:44
Request Olga:
Good day. Tell me, be kind, I have a vacancy of 2, (1 died on the 8th day). Term 21 day. On the term of 18 tyzhniv likar on ultrasound showed that my placenta spreads along the posterior wall at a low 5 mm, not reaching the pharynx. I was assigned a bed rest. After 2 days, then. on term 20 tyzhnіv me put povne placenta previa with a transition to the anterior wall by 9 mm. They said to continue a strict bed regime, which is better for everything it is unlikely that the placenta will rise. I have the same food for you: why do I need to lie down and why are walks allowed for 20 minutes on the street? On the right, in the fact that I will be on bed rest for another 10 days (bula hematoma). I have been lying in a horizontal position for 2.5 months, without going out into the street. And even less to lie down like this for months, not going out in the fresh air, I don’t know how to look less. thank you
Vidpovidaє Dika Nadia Ivanivna:
Even if placenta previa, because of the high level of massive bleeding, in such situations, a matir, a child is born. That choice is yours: walks of a child. The placenta is capable of migrating, everything is possible, it needs patience and a positive attitude.
2015-05-20 18:41:04
Ask Olena:
Pidkazhita to be affectionate in 20 Tizhniv set the fraud of the placenta of the passage of the intersection of the intra -nichex zyvs by the transition to the back of the width of the internal ziva 2 mm to 21 tizhenya placenta of the rostashovan along the front of the lower stroke liquor?
Vidpovidaє Yulia Vasylivna Bosyak:
Hello Olena! You can make two ultrasound scans with different descriptions of one (!) drawing. My thought is this - some of the doctors who described the situation are not correct. Radzhu you through tizhden to pass the control ultrasound of another fahivtsya. In case of total placenta previa, there are good indications of a new calmness and caution at the hospital. With the increase in the term of vagity, the placenta can be pulled up, don’t worry about that.
2015-04-07 14:08:57
Ask Mary:
Hello, tell me if the ultrasound + ultrasound of the fetus on the 21st day showed placenta previa stage 3: "localization of the placenta along the anterior wall of the uterus to reach the inner ziva with the transition to the back wall" the placenta is bilobular. unsafe and threatening with what? Is it possible to raise the placenta?
2015-02-22 12:26:36
Ask Irina:
Good afternoon! The first day of the rest of the menstruation on August 3, 2014, the fate, buv bacterial vaginosis, was prescribed a cure, as I didn’t pass until the end, to that I knew 5 leaf fall, that I was pregnant, I took this drug gynecitis-4 days (10/29; 02.10; 10/02; from 29.10 to 4.11, milagin (3 candles) from 29.10 to 31.10, Terzhinan from 1.10 to 4.10. At once I am changing for 20 days of pregnancy, robbed ultrasound on 10/21/14 on the term of 6-7 days of pregnancy (central overdue, hypertonicity in the lower segment, everything else is normal), then ultrasound on 12/19/14 at the end of 11-12 days (rear overdue) walls, hypertonicity in the lower segment, gate space - 1.4 mm, nasal brushes - 2.6), on the next. day she gave shelter for screening, the results are in the norm -2.11, PAPP MOM-1.26). Ultrasound on 19.01.15 (for another screening) everything is normal (the placenta has risen), 24.01. blood tests for blood test are normal, the results are AFP-alpha-fetoprotein AF -1.09 MOM, hCG MOM-0.74, estriol vilniy UE3-0. Ultrasound of another planned 18.02.15 everything is normal, everything is visualized, only a slight tone periodically (I am treating it)! For the whole hour, all analyzes and special screenings and ultrasound are all normal, but I still worry about the risk of a teratogenic disease on the plaid, even more so. Distrustful! Let me tell you, be kind, how is it possible in such a time for me, with all normal conditions, the possibility of a small child with respite?!