The night came quietly, and a noisy voice came from the obstetrics and gynecology ward that had just calmed down, "Doctor, doctor, my daughter -in -law who was pregnant for almost seven months had so much blood."The deputy chief physician immediately rushed to the past, and asked while inquiring, and then opened the obstetrics ultrasound and other related examinations. With years of clinical experience, a professional term had long been transferred to a few times -the placenta was stripped early.
Chen Yanhui, deputy chief physician of the Department of Obstetrics and Gynecology of the Second People’s Hospital of Hunan Province, reminds everyone that the symptoms of early peeling of the placenta are very obvious (prenatal bleeding, bloody amniotic fluid, and pain), but some patients are not familiar with this disease.Whether to suffer from this disease, the premature dangers of the placenta are very serious, and it will even endanger the lives of maternal and infants. Therefore, it is necessary to understand the clinical manifestations of the placenta early peeling as soon as possible.
Placental peeling is 20 weeks of pregnancy or delivery period. The placenta in the normal position is before the fetus is delivered, and partly or all from the uterine wall.Placental peeling is a serious obstetric complications. It is often urgent and rapid. If it is not handled in time, it can cause uterine placenta stroke, DIC, amniotic fluid embolism, and endangers mothers’ lives.
What are the symptoms of placental peeling?
1. Pre -delivery bleeding
The amount of prenatal bleeding is very different. A small amount of bleeding is similar to red. In fact, many placenta patients have no performance of vaginal bleeding before childbirth.And treatment.
2. Blood and amniotic fluid
When the placenta peels early, if bleeding through the amniotic fluid flows into amniotic fluid, bloody amniotic fluid can be formed. If the uterine sensitivity and poor relaxation occur at the same time, the placenta should be suspected.Therefore, you should pay attention to observing the properties of amniotic fluid when breaking the membrane.
Mainly abdominal pain and lumbosacral pain.Generally speaking, the placenta attached to the front wall of the uterus is mostly presented as abdominal pain, especially the pain of the divestitudes; if the placenta attached to the posterior wall of the uterine occurs early, the abdominal pain and uterine tenderness are not obvious, and it is manifested as the manifestation as, but it is manifested as the manifestation, but it is manifested as the manifestation.Lumbar pain or deep pain in the pelvic cavity.If you pay attention to this feature clinically, early stripping the placenta discovered on the posterior wall of the uterus, it has great value to improve the level of diagnosis.
At this time, the results of the prenatal ultrasound placenta came back with the pregnant woman sitting in a wheelchair, and it started another round of busy work.For maternal mothers with early pregnancy of 28-32 weeks and less than 28 weeks, if the maternal and fetal status is stable, conservative treatment is considered while promoting the maturity of the lungs.Fortunately, this "big belly woman" is lucky, otherwise the consequences will be unimaginable.
The obstetrics and gynecology department of the Second People’s Hospital of Hunan Province reminds you of expectant mothers during pregnancy, especially in the middle and late pregnancy.s Choice.
Author: Pang Yaowen, Department of Radiology, Hunan Second People’s Hospital
Edit: Chen Pei
Photo: From the Internet, invade and delete