Pregnancy placental growth,pregnancy at 39 weeks discharge xy,getting pregnant over age 40 risks - How to DIY

Any pregnancy complications to your placenta can seriously hamper your baby’s health and yours as well.
One of the rare placental pregnancy complications is placental abruption, medically known as abruptio placentae. If the placenta breaks away from the uterus, it can cause massive internal bleeding, which can lead to shock and eventually death if the mother is not treated immediately. Placental abruption can deprive the baby of nutrition and oxygen, which can lead to several complications like low birth weight, birth defects, brain damage, internal bleeding, organ failure, and death.
As with the reasons for most pregnancy complications, doctors just do not know why placental abruption happens. Physical trauma to the abdomen during pregnancy can cause the placenta to come loose from the uterine wall, thus leading to placental abruption and the pregnancy complications that follow.
If you suddenly lose volume from the uterus – as would be the case if your amniotic sac burst or when you have delivered the first of your twins – it can cause placental abruption.
For reasons unknown, having a shorter than normal umbilical chord causes placental abruption.
While the causes of pregnancy complications like placental abruption are unclear in most cases, long-term observation has allowed researchers and doctors to identify the risk factors associated with placental abruption in particular.
Drug abuse: Not recommended even for the healthiest folks, drugs are a strict no-no during pregnancy precisely because they increase your chances of placental abruption and other pregnancy complications. High blood pressure: Hypertension or high blood pressure during pregnancy can be fatal in some cases. Uterine scars: Sometimes, the placenta can grow from a scar from the site of a past surgery on your uterus, which significantly increases your risk of placental abruption.
Amniocentesis: In rare cases, amniocentesis – a regular prenatal test – may cause placental abruption. Polyhydramnios: This is a condition in which there is too much amniotic fluid in the womb, and is a risk factor for placental abruption.
Premature rupture of amniotic membranes: The outer covering of the amniotic sac is called the amniotic membrane. Multiple pregnancies: The number of times you have been pregnant is directly proportional to your risk of having placental abruption.
Underweight mother: You should be gaining weight normally during your pregnancy to avoid pregnancy complications.
Prior placental pregnancy complications: If you suffered from placental abruption in a previous pregnancy, you are at higher risk for it in your current pregnancy. Disorders of the blood: A blood-clotting disorder in particular greatly increases your risk of placental abruption. Prior C-section: Some studies indicate that having a baby via cesarean section in a past pregnancy may slightly increase your risk for placental abruption. Now that you know how risky it can be to have placental abruption, keep a sharp eye out for the following symptoms of the condition. If you experience abdominal pain during pregnancy, it could be a sign that you have placental abruption. If you have placental abruption, you may feel a tenderness in the uterus at the site where the placenta has come away. If the placenta has broken away, you may experience nausea and feel like fainting; you may also have difficulty breathing, feel lightheaded or weak, and experience confusion.
Your baby’s heart rhythm may change if you have placental abruption since it is being starved of food and oxygen. As you can see, all these symptoms of placental abruption are quite generic and correspond to several other pregnancy complications as well. Your doctor will do a blood test to check if you have anemia from loss of blood, and conduct an ultrasound to diagnose placental abruption. Once a placenta has separated from the uterine wall, there is nothing you or your doctor can do to reverse it. If the bleeding is very heavy and you are close to your due date or above 37 weeks pregnant, your doctor will recommend a C-section. If the bleeding is heavy and you are not close to full term, your doctor will monitor you to see if the bleeding stops.
If the bleeding ranges from minimal to mild, you will be advised bed rest or kept under hospital observation for awhile. If the bleeding shows no signs of stopping, your doctor may have no choice but to remove your uterus to save your life.
Put safety measures in place around the house and in your car that can help prevent or minimize injury in case of an accident. Experts suggest taking folic acid on a daily basis to reduce your chances of having placental abruption. If you are suffering from high blood pressure or any other ailments during pregnancy, see your doctor about bringing them under control.
And lastly, stick to  your doctor’s appointments so that threatened placental abruption and other pregnancy complications can be caught as early as possible. Sudden decompression of the uterus from events such as the delivery of the first child in a multiples birth, artificial rupture of the membranes (physician breaks the mother’s water), or premature rupture of the membranes (PROM).
In most cases, the diagnosis of placental abruption is made based only on the signs, symptoms and medical history of the mother, and it can later be confirmed by finding clots on the placenta after delivery. When a mother has high blood pressure during pregnancy, called preeclampsia, she may be at higher risk for placental abruption; research shows that preeclampsia and abruption often occur together.
If the placental separation is complete or severe, the baby will have to be delivered immediately in order to prevent severe brain damage caused by oxygen deprivation.
Prompt C-section is also indicated if vaginal delivery is contraindicated (in cases of malpresentation or prior classical C-section), or unsuccessful (failure to progress). Even if the baby is not old enough or the lungs are not mature, delivery may still be required if the baby is in trouble.
Vaginal delivery is reasonable only if the mother is stable and the fetal heart tracing is reassuring. For women between 34 and 36 weeks with probable minor abruption (minimal signs and symptoms), conservative management is a reasonable approach if the mother is stable, the baby’s status is reassuring, lab tests are normal, and active bleeding has stopped. If the separation is not severe, the pregnancy must be very closely monitored, and delivery may be indicated if the baby is old enough. Expectant management (waiting for delivery to occur naturally) is reasonable in cases of abruption in pregnancies less than 34 weeks when the mother is stable and tests of the baby’s well-being (such as heart rate tests) are reassuring. If no further symptoms develop in these mothers, delivery can be scheduled at 37 – 38 weeks because the risk of stillbirth is very high. In general, when placental abruption is suspected and bleeding is present (either concealed or visible), the mother and baby should be closely monitored in the hospital until the bleeding has subsided for at least 48 hours, fetal heart tracings and ultrasound exams are reassuring, and the mother has no symptoms of abruption.
Even in cases of mild placental abruption, the baby could be receiving a decreased supply of oxygen and nutrients. It is imperative for physicians to monitor for and treat high blood pressure in a pregnant woman since high blood pressure can cause placental abruption. It is essential for physicians to closely monitor a mother at risk of having a placental abruption, and if signs of the condition are present, very close and continuous monitoring must occur, and the physician must be prepared to do a quick C-section delivery. ABC Law Centers president and lead attorney Jesse Reiter has been focusing solely on birth injury cases since the beginning of his career. If you experienced a placental abruption and your child was diagnosed with a birth injury such as cerebral palsy, a seizure disorder or hypoxic ischemic encephalopathy (HIE), the birth injury lawyers at ABC Law Centers can help.
Bleeding during second half of pregnancy may pose a threat to the health of the woman or the fetus. Cervical ectropion – slight changes to the cervix can cause harmless bleeding and spotting in the second trimesters.


In most cases miscarriages occur in the first trimester but some do happen in the later stages of pregnancy (though it’s very uncommon for it to happen after 30 weeks). Placenta previa occurs when the placenta lies low in the uterus partly or completely covering the cervix and blocks the entrance to the cervix. Placenta previa occurs quite rarely (1 in 200 pregnancies), it is an emergency situation that requires instant medical attention.
Vaginal bleeding may be caused by the placenta detaching from the uterine wall before or during labor. Vaginal bleeding in the later months of gestation might simply be an indication that one’s system is readying itself for delivery. In atypical situations, scar from an earlier Cesarean section could rip apart during gestational period, having life-menacing outcomes and necessitate an emergency Cesarean section. This is a rather uncommon condition wherein blood vessels of the growing fetus in the placenta or umbilical cord appear to have crossed the parturient canal aperture. Other reasons that could be causing bleeding during late pregnancy are vaginal or cervical injury, polyp formations or cancer. This is why it is crucial that you educate yourself about the different placental pregnancy complications so you can reduce your risk of developing them, and in the unfortunate event that you do suffer from them you know what symptoms to look out for so you can call for medical attention. Any deviation in the location or condition of the placenta can cause several pregnancy complications, some common, others fatal. Be warned, however, that if you are at high risk for placental abruption it can happen any time after your 20th pregnancy week. Even if the mother is receiving medical attention, a few cases of placental abruption lead to difficulties in stemming the bleeding from the site of the placental abruption. Placental abruption can also cause premature birth, which can further lead to several problems for your baby like developmental delays, neurological issues, and  breathing problems.
While they are aware that it has something to do with placental problems – the placenta is not formed properly or is not placed in the right position in the uterus – they do not understand why it should be so. Not only does smoking – even if it is just one cigarette a day – increase your risk of placental abruption, it is a known risk factor for hundreds of other pregnancy complications. In all cases, it causes pregnancy complications of some kind, placental abruption being just one of them. Researchers feel that this may be because the scar tissue is not stable enough for a placenta to firmly attach itself. When you are going into labor, the membrane breaks – what is commonly known as water breaking.
Women who are pregnant with twins, triplets or anything more than one baby are more likely to have placental abruption. If you were underweight before pregnancy and are having a hard time gaining weight while you are pregnant, you could be at an increased risk of placental abruption.
This may be because a C-section will leave a scar on your uterus, and as we have seen that is a risk factor in itself. The contractions are usually quite rapid and come in waves that make the contractions seem almost continuous. These are all signs of shock from uterine blood retention so call emergency services right away.
So although you should not presume the worst if you experience any of these symptoms, you should definitely see your doctor immediately.
However, a placental abruption does not always show up on an ultrasound so your doctor will depend on results of the other tests and your description of your symptoms to diagnose placental abruption. This is so that you do not go into shock and blood loss, and so that your baby has a better chance of surviving. If it does, you will remain hospitalized and be closely monitored while given medication to aid rapid development of your baby’s lungs. As long as the baby’s condition as well as your own remains stable, you will have to be extra careful until your 37th pregnancy week, which is when your baby can be safely delivered. Research has shown that smoking causes several pregnancy complications which are just as severe as placental abruption.
Cocaine especially is seen to dramatically increase the risk of placental abruption in addition to hundreds of other pregnancy complications. The amount you can safely take will depend on your individual condition so let your doctor advise you. The longer you allow yourself to be sick, the greater your chances of developing placental pregnancy complications. The placenta is a sac-like structure within the uterus (womb) where the baby develops during pregnancy. This is the most common cause of placental abruption, and it occurs in approximately 44% of cases. When abruption occurs, there may be a small amount of vaginal bleeding or massive hemorrhage (sudden, uncontrolled bleeding), leading to severe injury and even death of the baby, as well as a blood clotting problem that can be devastating for the mother and baby. However, the diagnosis of placental abruption may be delayed if the bleeding is concealed. Ultrasound examination might not reveal concealed bleeding, so it can only be used to exclude the presence of other conditions. When these conditions occur together, the baby’s risk of experiencing oxygen deprivation is even greater because preeclampsia also can cause oxygen deprivation in the baby. Types of brain damage that can occur include hypoxic ischemic encephalopathy (HIE), cerebral palsy, periventricular leukomalacia (PVL) and intellectual disabilities and developmental delays.
When the baby has a slow heart rate, research shows improved outcomes when the C-section occurs within 18 minutes of the decision to perform a C-section.
However, as mentioned above, these women are at risk of a severe abruption; therefore, the baby and mother should be monitored very closely and delivery should occur if there is recurrent bleeding. In fact, even in cases of mild abruption, the standard of care is to deliver the baby if the baby is old enough and the lungs are mature. However, if additional complications arise (intrauterine growth restriction, preeclampsia, PROM, nonreassuring fetal assessment, recurrent abruption with maternal instability), delivery before 37 weeks must take place.
Monitoring must include fetal heart rate and maternal hemodynamic monitoring, including blood pressure, volume and heart rate. An ongoing reduction in the supply of oxygen and nutrients can cause very serious problems in the baby, such as intrauterine growth restriction and brain damage.
The health of the baby at a given gestational age must be measured against the likely impact the bleeding has on maternal and fetal well-being and the long-term outlook for the pregnancy if the mother were to wait for labor and delivery to occur naturally. Many different blood component therapies can be used to reduce the risk of infection, prevent blood clotting and bleeding problems, and increase the blood’s ability to carry oxygen to the mother and baby. Research indicates that C-section reduces the risk of injury and death in the baby; in most cases, this method of delivery is usually the best choice. Preparation and expediency are crucial because a baby can suffer brain damage if a timely C-section is not performed. Partners Jesse Reiter and Rebecca Walsh are currently recognized as being two of the best medical malpractice lawyers in America by U.S.
We have helped children throughout the country obtain compensation for lifelong treatment and therapy, and we give personal attention to each child and family we represent.
Unusual bleeding in the second or third trimester of pregnancy might be graver since it could be an indication of maternal-fetal related problems for which prompt medical assistance could be needed. It can be pain free but the pain from an abruption can be difficult to endure, especially if the blood is being forced back into the muscles of the uterus. A plug that covers the opening of the uterus during pregnancy is passed just before or at the start of labor. Although it can be quite alarming when it happens, it’s also cause for celebration – your baby is finally on its way! A couple of days or weeks prior to the onset of labor, the mucus plug covering the uterine opening would be passed out from the vagina and it would generally have miniscule levels of blood present in it, also called as the blood-gore show.


Vasa previa could be risky for the fetal health since the blood vessels could rip apart thus eliciting severe bleeding in the fetus and oxygen loss. Placental abruption is one of those pregnancy complications which you must know about, even though it is quite rare.
The only way to resolve the bleeding may be to immediately remove the uterus entirely (hysterectomy) which means the woman cannot have any more children in the future.
If you go on a diet during pregnancy to lose weight, this again would put you at a higher risk for placental abruption.
And the level of bleeding does not necessarily correspond to the severity of the placental abruption. Researchers feel that this may be the uterus’ attempts to eject the placenta from the uterus. She may give you a physical exam to check for tenderness in the uterus, and check your baby’s heartbeat to assess its condition. The options open to you if you have placental abruption will depend on two things – how severe your case is and how close you are to full term.
This way, if bleeding recurs, your baby will have to be delivered immediately and will at least be able to breathe when it is born.
But as we have seen earlier from the risk factors of placental abruption, some of them are within your control. It contains a network of blood vessels that supply nutrients and oxygen to the baby through the umbilical cord.
However, in the course of 24 hours, even mild trauma may progress to a significant degree of abruption. Since the diagnosis of this very serious condition is mostly based on observation, it is imperative for the physician to communicate with and pay very close attention to the mother and baby, especially if the mother has risk factors for abruption. Thus, when preeclampsia and placental abruption occur at the same time, the baby is experiencing two different conditions that cause a deprivation of oxygen. In many cases of placental abruption, there is poor placental blood flow and the baby is deprived of some or a lot of oxygen.
In cases of vigorous contractions, it is absolutely crucial that the baby be promptly delivered because fast and forceful contractions can deprive a baby of oxygen and cause HIE. The reason for this is because a mild or moderate placental abruption can turn severe very quickly. Women with pregnancies between 23 and 34 weeks of gestation should be given steroids to help the babies’ lung maturity.
This is the minimum type of general management that should occur, and in some cases, the mother and baby should remain in the hospital for a longer period of time.
In many cases, the baby should be delivered in less than 18 minutes in order to avoid permanent brain damage from HIE. The mother must be made aware of the risks and alternatives to the various management options for abruption.
News and World Report  which also recognized ABC Law Centers as one of the best medical malpractice law firms in the U.S.
Our trusted birth injury firm has numerous multi-million dollar verdicts and settlements that attest to our success.
The instances of bleeding in the second half of pregnancy significantly differ from the ones in early pregnancy.
Placenta abruption is bleeding diagnosed normally after 22 weeks gestation and involves the placenta detaching itself from the inside of the uterus. In most cases the placenta moves up in pregnancy but if it remains low, you may be advised to have a Cesarean section. In case bleeding and signs of labor commence prior to thirty-seven week of gestation, it could means a woman may be in preterm labor.
Let’s take a look at what placental abruption is, what causes it, and what the symptoms are.
This can increase your chances of placental abruption and several other pregnancy complications for both you and your baby. It is only after placental abruption has been diagnosed and its severity determined that any action can be taken. If your doctor suspects that you have placental abruption, you will be kept in the hospital for a few days at least. So by making sure that you do not fall under a certain risk category, you can reduce your chances of developing placental pregnancy complications like placental abruption.
When bleeding is not visible, reliance on the magnitude of visible bleeding may cause the physician to seriously underestimate the amount of blood loss. Monitoring fetal heart rate is critical since nonreassuring fetal heart tracings are a sign of the baby being oxygen deprived and in distress. If a baby is deprived of sufficient oxygen, the heart rate can become too fast (tachycardia), irregular, or really slow (bradycardia). In these cases, it is crucial to deliver the baby as soon as possible (in a matter of minutes).
In this case, then, close fetal monitoring should be ongoing and preparations should be made for an emergency C-section, which includes notifying the anesthesia team so they are ready. Low blood pressure can decrease the amount of oxygen-rich blood going to the baby, and this can cause injury and even permanent brain damage if the blood pressure is too low for too long.
Placental abruption deprives a baby of oxygen, sometimes only a little, and sometimes a significant amount. The lawyers at ABC Law Centers have won numerous awards for their advocacy of children and are members of the Birth Trauma Litigation Group (BTLG) and the Michigan Association for Justice (MAJ).
It can happen suddenly after a trauma or if the size of the uterus is reduced (for example when your waters break).
Anything that prevents the placenta and umbilical cord from delivering oxygen and nutrients to the baby (and getting rid of excess carbon dioxide in the baby) can cause the baby to be permanently injured. Physicians must be aware of this and of the possibility of concealed bleeding, and must pay very close attention to signs and symptoms of abruption. The longer a baby lacks sufficient oxygen, the more likely it is that brain damage will occur.
An attempt at vaginal delivery should only be undertaken if there is access to immediate C-section delivery. Delivery should occur in most patients with a new diagnosis of abruption at 34 – 36 weeks – even if the abruption is not severe – due to the fact that there is a high risk of a severe abruption occurring very quickly. Oxygen deprivation in the baby must be avoided, so quick delivery is critical when the baby or mother are in distress. Email or call Reiter & Walsh ABC Law Centers at (888) 812-6009 for a free case evaluation. When a baby is deprived of oxygen for too long, brain cells can start to die, causing hypoxic ischemic encephalopathy (HIE), a permanent brain injury that can cause cerebral palsy and learning disabilities and developmental delays. Only 1% of pregnant women have this problem, and it usually occurs during the last 12 weeks of pregnancy. Placental abruption is when the placenta separates from the inner wall of the uterus while the baby is still in the womb, disrupting normal nutrient and oxygen delivery.
If the separation occurs at the umbilical cord – which means the umbilical cord is no longer attached to the womb – the baby will be completely cut off from the mother and will not be receiving any oxygen or nutrients.



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