Placenta Abruptio - Topic Overview
What are the symptoms? continued...
You can't really tell how serious placenta
abruptio is by the
amount of vaginal bleeding. Sometimes the blood gets trapped between the placenta
and the wall of the uterus. So there might be a serious problem even if there is
only a little bleeding.
emergency services right away if you have:
- Sudden or severe pain in your
- Severe vaginal bleeding, such as a gush of blood or passing a clot.
symptoms of shock. These include feeling lightheaded
or like you are going faint; feeling confused, restless, or weak; feeling sick
to your stomach or vomiting; and having fast, shallow breathing.
In rare cases, symptoms of shock are the only
signs of a serious problem.
How is placenta abruptio diagnosed?
This problem can be hard to diagnose. Your doctor
will ask questions about your symptoms and do a physical exam.
Tests that may be done include:
- Fetal heart monitoring. This is to assess your baby's condition and check for contractions of the uterus.
- An ultrasound. This test can detect about half of placental abruptions.
- A blood test for anemia. You can become anemic from heavy blood loss.
abruptio is suspected, you'll probably need to be in the
hospital until your doctor finds out how severe
How is it treated?
The kind of treatment you need will depend on:
- How severe the abruption is.
it is affecting your baby.
- How close your due date is.
If you have mild placenta abruptio and your baby is not in distress, you may
not have to stay in the hospital.
- You and your baby will be checked often throughout the rest of your pregnancy.
- If you are in preterm labor and are far from your due date, you may be given medicine to stop labor.
If you have moderate to severe placenta abruptio, you will probably have to stay in the hospital so your baby's
health can be watched closely.
- In most cases, the baby will need to be delivered quickly. This means you are likely to have a C-section (cesarean delivery).
- If you have lost a lot of blood, you may need a blood transfusion.
If your baby is premature, he or she may be treated in a neonatal intensive care unit, or NICU. The NICU is geared to the needs of premature or ill newborns.