My recommendation would be to call your OB (I'm assuming it was the radiologist or ER doctor who told you about the "separated placenta"). Your OB should be able to tell you what this is and what to expect. They should also be able to tell you when you will need another ultrasound and how much bleeding is too much bleeding.
2006-08-23 05:46:01
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answer #1
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answered by abcd 2
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The placenta is an organ that grows in the uterus during pregnancy to provide nourishment and oxygen to the baby. Separated placenta is when the placenta separates (of course!) from the uterine wall. Typically this does not occur until after the baby is born and the umbilical cord is cut. If this occurs before delivery, it is abnormal and is referred to as Placental Abruption.
There are several factors that can contribute to a separated placenta, including:
- pregnancy after the age of 35
- multiple pregnancies; risk increases after the 4th or 5th birth
- multiple gestation (twins or more)
- cocaine use
- diabetes
- previous placental abruption.
If the separation of the placenta is small, the baby isn't in distress, and your condition is stable, you may be able to go home and continue the pregnancy with frequent checkups. If the separation is moderate to severe but the baby is not in distress and your condition is stable, the doctor may induce labor and perform a vaginal delivery. If the baby is in distress or if you are losing a lot of blood, the doctor will deliver the baby immediately by cesarean section.
but please go see your doctor and get them to explain everything and what they are going to do
2006-08-24 07:47:26
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answer #2
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answered by carol p 4
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What is placental abruption?
A placental abruption is a serious condition in which your placenta separates from your uterus, partially or completely, before your baby's born. It can deprive your baby of oxygen and nutrients, and cause severe bleeding that can be dangerous for you both. It also increases the risk that your baby will have growth problems, be born prematurely, or be stillborn. Placental abruption happens in about 1 in 200 pregnancies. It's most common in the third trimester but can happen any time after about 20 weeks.
How can I tell if I'm having a placental abruption?
In most cases, you'll have some vaginal bleeding, ranging from a small amount to an obvious and sudden gush. Sometimes, though, the blood stays in the uterus behind the placenta, so you might not see any bleeding at all. Most women will also have some uterine tenderness or back pain. And in close to a quarter of cases, an abruption will cause the mom-to-be to go into labor prematurely.
If you have any signs of a placental abruption, you'll need to go to the hospital for a complete evaluation, including fetal heart rate monitoring and an ultrasound. (An ultrasound can't necessarily detect a small abruption, but it can rule out a placenta previa, the other likely cause of uterine bleeding.) Since the bleeding may not be from the uterus, your practitioner will examine your vagina and cervix to see if it's from something like an infection, a laceration, or a cervical polyp. She'll also check to see if your cervix is effacing or dilating, which can disrupt small veins and result in some bleeding.
If you're Rh negative and you have any vaginal bleeding in your second or third trimester, you'll need a shot of Rh immune globulin, unless the biological father is also Rh negative.
Call your practitioner immediately if you have any of these signs:
• Vaginal bleeding or spotting, or your water breaks and the fluid is bloody. (Call 911 if you're bleeding profusely or have any signs of shock — you feel weak, faint, pale, sweaty, or disoriented, or your heart is pounding).
• Cramping, uterine tenderness, abdominal pain, or back pain.
• Frequent contractions or a contraction that doesn't end.
• Your baby isn't moving as much as before.
What will happen if I have a placental abruption?
You'll need to deliver your baby right away if you're near your due date, even if the abruption is minor, because the placenta could separate further at any time. In most cases, you'll have a c-section. However, if you and your baby are doing fine but you have a small amount of bleeding that your provider suspects is from a minor abruption, you may be allowed to labor, as long as you're at a hospital where an emergency c-section could be done at the first sign of trouble.
If your provider suspects that you have a minor abruption and your baby is very premature, you may be able to delay delivery a bit, as long as you and your baby are doing fine. At this point you have to weigh the risk of a worsening abruption against the risk of a premature birth. You might be given corticosteroids to speed the development of your baby's lungs and to prevent certain other problems related to prematurity. You'll stay in the hospital and be monitored continuously so your medical team can get your baby out at the first sign that the abruption is getting worse or that you or your baby is no longer doing fine.
Who's most at risk for placental abruption?
No one knows for sure what causes most cases of placental abruption, but the condition is more common in women who:
• Had an abruption in a previous pregnancy (and if you've had an abruption in two or more pregnancies, the risk is even higher).
• Have chronic hypertension, gestational hypertension, or preeclampsia.
• Have a blood clotting disorder.
• Have their water break prematurely .
• Have too much amniotic fluid (polyhydramnios).
• Had bleeding earlier in their pregnancy.
• Are carrying multiples (abruption is especially common just after the first baby is delivered).
• Are involved in an accident (particularly a car accident), are assaulted (with blows to the abdomen), or have other trauma to the abdomen.
• Smoke or use cocaine.
• Have had many babies or are older (your risk gradually goes up with age).
• Have a uterine abnormality or fibroids (particularly if there's a fibroid behind the place where the placenta is attached).
2006-08-23 05:46:16
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answer #3
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answered by Anonymous
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The placenta is fully formed at 10 weeks of pregancy. Its functions are respiration which provides the fetus with oxygen and excretes carbondioxide,it also provides the fetus with nutrients eg calcium, glucose etc,the placenta is also responsible for protection against some infection except syphilis and tuberculosis. In my opinion you should be under medical observation.
2006-08-23 06:28:29
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answer #4
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answered by shell 1
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i develop into hoping somebody could have the answer to this, my husband and that i've got been instructed shall we no longer have the placenta yet now 6 weeks after giving start we've been given a decision from the frequently used practitioner asserting they have been achieved with it and shall we've it now. i develop into too very much surprised to ask what that they were doing with it yet we don't elect it besides because of the fact they stored it in formaldehyde she pronounced.
2016-12-11 13:50:22
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answer #5
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answered by Anonymous
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Uterine fibroids are usually not dangerous, but can cause immense discomfort and lead to complications like anemia from heavy blood loss. In rare cases, they may cause complications that affect pregnancy.
In cases where there are no symptoms, treatment may not be necessary. However, proper diagnosis and treatment may be required if your symptoms are severe or causing complications. Along with conventional treatment, you can try some natural home remedies. Read here https://tr.im/k4wkZ
2016-05-17 04:06:36
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answer #6
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answered by barbara 2
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if they did not tell you, you really need to stay off of your feet, because this is very serious, and you could loose the baby.
Here is what I could find on it...
Placenta abruptio
Images(Click to view larger image)
Alternative Names
abruptio placenta, placental abruption, ablatio placentae, accidental hemorrhage
Definition
Placenta abruptio during pregnancy is a condition in which the placenta, or afterbirth, separates from the uterus before the fetus is born. The placenta is a disc-shaped organ that provides nourishment and blood to a fetus. This condition occurs in about 1 out of 75 to 90 deliveries.
What is going on in the body?
In the normal birthing process, the placenta does not separate from the uterus until after the infant is born. In placenta abruptio, blood vessels rupture and create a mass of blood, also called a hematoma. This hematoma shears off the adjacent blood vessels, creating further bleeding and separation of the placenta.
There are two kinds of placenta abruptio, depending on whether the bleeding can be seen externally or not. The concealed form means that bleeding occurs within the uterine cavity and does not leave the cervix. In the external form of this condition, blood drains through the cervix and out the body.
What are the signs and symptoms of the condition?
Symptoms may vary, depending on how much of the placenta has separated and when in the pregnancy it occurs. Thirty percent of placenta abruptios are small and produce no symptoms. When symptoms do occur they may include:
vaginal bleeding
severe abdominal pain, which is different from uterine contractions
uterine irritability, or more frequent, painful uterine contractions
fetal distress, detected by fetal monitoring
constant contractions, called uterine tetany
back pain
uterine tenderness
shock, with low blood pressure and inadequate blood flow to vital organs
What are the causes and risks of the condition?
A woman is more likely to develop this condition if she:
has preeclampsia, a type of toxemia or poison that develops during pregnancy
has eclampsia, which is toxemia during pregnancy that becomes severe
has had this condition before
has chronic high blood pressure
is older
has uterine distension from multiple pregnancies, or an excess of amniotic fluid
has had more than four children
has diabetes
has other medical conditions, such as systemic lupus erythematosus
smokes cigarettes
has more than 14 alcoholic drinks per week
uses cocaine
has a history of an attempted internal version, a procedure in which the obstetrician tries changing the baby's position from breech to head first
has an automobile accident during pregnancy
What can be done to prevent the condition?
Women can reduce their risk factors by:
avoiding pregnancy risk factors, such as cocaine, alcohol, or cigarette use
treating chronic high blood pressure or other conditions, such as diabetes
Good prenatal care will help to identify pregnancy risk factors and possibly allow for early recognition of placenta problems. This will enable treatment to be started right away.
How is the condition diagnosed?
A woman's healthcare provider will look at her medical history and consider any symptoms. He or she also will look for any signs of fetal distress. Based on this information, the provider may suspect placenta abruptio.
The diagnosis can be confirmed if:
a pregnancy ultrasound shows a clot behind the placenta
a complete blood count, or CBC, shows decreased hemoglobin, hematocrit, and platelets
a bleeding tendency is found with clotting tests such as a prothrombin time, or PT
the baby's heartrate or rhythmn is abnormal
What are the long-term effects of the condition?
This condition can result in:
the death of the mother
the death of the fetus
excessive bleeding leading to shock
a serious generalized bleeding problem called disseminated intravascular coagulopathy, or DIC
kidney failure, also known as renal failure
a liver disease called transfusion hepatitis
low muscle tone, called uterine atony, with continued bleeding
premature delivery, birth trauma, and risks associated with prematurity
What are the risks to others?
This condition can be harmful to the fetus. The woman also has a higher risk of developing this condition during future pregnancies.
What are the treatments for the condition?
This condition is usually an emergency and requires treatment right away. Measures will be taken to keep the mother and infant healthy. This might include:
immediate and continuous internal fetal monitoring of the infant
IV fluids and blood transfusions
monitoring of vital signs, such as blood pressure, heart rate, and urine output
"watchful management" if the fetus is not in distress, the mother's vital signs are stable, and labor is not in motion. Some small abruptios will stop bleeding on their own.
vaginal delivery if the infant and mother are stable
cesarean section if the mother and infant are unstable
blood transfusion if signs of shock are present
What are the side effects of the treatments?
Because the treatments for this condition may be life-saving, the potential side effects should be weighed against the loss of life. It may take longer for a woman to recover from major abdominal surgery involved in a cesarean section. Risks for any surgery include bleeding, infection, and allergic reaction to the anesthesia.
What happens after treatment for the condition?
After delivery, the woman will be watched closely for signs of continued bleeding. This entails monitoring frequent CBCs, evaluating clotting times, and watching vital signs. The surviving infant will likewise be observed in the intensive care unit.
How is the condition monitored?
If a woman is pregnant and develops any of the signs of this condition, she should call her healthcare provider right away.
Author: Eva Martin, MD
Date Written: 02/03/00
Reviewer: Eileen McLaughlin, RN, BSN
Date Reviewed: 06/07/01
Potential conflict of interest information for reviewers available on request
2006-08-23 05:59:19
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answer #7
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answered by Just Me 6
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Call them back and ask them at the hospital or call your OB. Don't rely on Yahoo Answers for this kind of information.
2006-08-23 05:43:52
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answer #8
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answered by BeamMeUpMom 3
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Give your doctor a call and have him/her tell you what is going on. A placental abruption at any point in a pregnancy is not good news. In the first trimester it doesn't look good at all.
I'm so sorry.
2006-08-23 05:49:14
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answer #9
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answered by herdoula 6
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http://folsomobgyn.com/placental_abruption.htm
http://www.webmd.com/hw/being_pregnant/hw180769.asp
Please go to the sites listed above, they seem to have some information. I hope this helps. Good Luck
2006-08-23 05:46:06
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answer #10
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answered by Annette 3
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