Placenta previa is a pregnancy complications. During pregnancy the placenta grows inside, the lining of the uterus., Connecting to the umbilical cord, which carries oxygen and nutrients to the unborn child while moving waste away.
The uterus or the Womb has three parts, the fundus , the body and the cervix, which links the uterus to the vagina. In early pregnancy it is normal for the placenta to be positioned low in the uterus.As pregnancy advances the uterus stretches and grows , with the placenta typically moving to the top of the uterus. This allows the cervix, or the entrance to the womb, at the bottom of the uterus, a clear path for delivery.
In the condition called placenta previa. Which occurs in about 1 in 200 pregnancies, the placenta is positioned lower down and may partly or completely cover the cervix.
As a result, when the cervix opens during labour, it can cause the blood vessels connecting the placenta to the uterus to tear , leading to bleeding and thus putting both the mother and baby at risk.
While the exact causes remains unknown, women at a higher risk for placenta previa, among others include women.
With previous placenta previa, previous Caesarean delivery or any other type of surgery on the uterus
Younger than,20 and older than 35
Cigarettes smokers or cocaine users
Who have been pregnant before.
Pregnant with more than one baby.
Usually a diagnosis of placenta previa may only be made after a routine ultrasound done transvaginally has superior accuracy as continue a transabdominal one. An MRI may be done to determine the location of the placenta.
However given that the placenta is often lower in the uterus during the early part of pregnancy. These initial signs are not necessarily cause for worry.
Symptoms
Cramps or sharp pain
Bleeding that starts,stops and begins again days or weeks later.
Bleeding After intercourse
Bleeding during the second half of pregnancy. Women with placenta previa often present with sudden painless and light to heavy bleeding from the vagina, usually around 32 weeks of gestation. But it can occur as early as the late mid trimester. The bleeding will start as mild, increasing as the area of placenta separation increases.
Although traditionally mothers would receive in hospital treatment from the first bleeding, episode until birth, however if the foetus is at less than 30 weeks of gestation and neither the mother nor the foetus are in distress, it is now considered safe to treat these mothers .
The attending obstetricians will decide the treatment.
Advice
Bed rest as much as possible.
To avoid sex
Prescribe medicines to prevent premature labour.
Give blood transfusion if needed.
Teach how to recognise alarming symptoms and see help.
An immediate delivery may be indicated if the foetus is mature or if the foetus or the mother are in distress.Depending on the distance between the placenta and the internal opening, a vaginal delivery could be attempted In the presence of the consultant obstetrician and gynaecologist.
Given that a diagnosis of placenta previa can be alarming. It is important for the expectant mother to be educated, it is also important for at risk pregnant women to find ways to enjoy the advised bed rest and pamper themselves.
Homoeopathic medicines.
Specific remedy is Sepia
Caullophylim
Pulsatilla
Swelling of the lower extremities of thighs or even external parts of sexual organs odema with prostration irregular pulse coldness of extremities ARS alb
Discharge of lochia continues beyond three weeks and for unduly long time then Secale cor 3x
If placenta not expelled nor detached within an hour of delivery then Pulsatilla 200 or Secale 30 every 15 minutes
Adhered placenta for no reason developed the habit of Adhered at each delivery, Hydrastis 3 x has the power to stop that habit by giving it in 3 x potency five drops daily once from the third month of the pregnancy onwards. For two months.
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