The detachment of the placenta in the early stages of pregnancy,as, however, and later - it's just the embodiment of a nightmare for any pregnant woman. And they are right, because this phenomenon entails very negative consequences for the fetus and, unfortunately, often its death. Can this be avoided and what needs to be done to achieve this? Let's start from the very beginning - what is the placenta? As a rule, future mothers have extremely vague ideas about this - some kind of body, through which oxygen and nutrients enter the child. However, if you look more closely, you can tell about the placenta the following: the name itself was derived from the Latin word, which is translated from a flat cake. And really - most of all in its form the placenta resembles a cake, which consists of a large number of lobules. On the one hand, the placenta is firmly attached to the uterine wall, and on the other hand it has an umbilical cord, with which it connects with the baby. By the way, very often women say "after", meaning exactly the placenta. However, the latter is not only the placenta, but also the umbilical cord and fetal membranes. The placenta begins to form from the moment of insertion of the fetal egg into the mucous membrane, but it begins to function fully only from the beginning of the sixteenth week of pregnancy. The placenta has a fairly large diameter - at the time of birth, about twenty centimeters in diameter, and weighs about 600 grams. The placenta is assigned a fairly large number of very important functions:
- Nutritional function. About this function is known to almost everyone - it is thanks to the placenta that the child receives from the mother's body all the nutrients and elements.
- Exclusive function. In the child's body, as in any other, a large number of very different metabolic processes occur. And as a result of all these metabolic processes, a sufficiently large number of products of vital activity is formed. And these products must leave the children's body, otherwise intoxication of the body is inevitable. And it is responsible for the allocation of products of the life of the future baby is the placenta.
- Respiratory function. Oxygen is vital for the life of a child. And it is the placenta responsible for providing the fetus with oxygen. As a result of diffusion, oxygen, contained in the blood of the mother, enters the blood of the child.
- Hormonal function. For a normal course of pregnancy, a certain balance of different hormones is needed - and for the production of many of them, it is primarily the placenta - placental lactogen, progesterone, chorionic gonadotropin and some others that are responsible.
- Protective function. The child's fetus is very vulnerable, therefore for its normal development vital protection is vital. The placenta is precisely the necessary reliable barrier that will protect the fetus from those infections and toxic substances that are almost always found in the maternal body. Moreover, the placenta protects the child from those antibodies that are produced by the maternal organism in response to fetal development.
However, unfortunately, the placenta can not protectthe child from all without an exception of harmful substances - many pathogenic microorganisms and toxins pass protective barriers. That is why the future mother should be very attentive and careful, not allowing penetration into her, and therefore into the children's body of poisonous substances and infections.
So, we have come to the most important question,exciting almost every future mother - an abruption of the placenta. And very many of them are afraid of detachment of the placenta already at the last stages of pregnancy. However, placental abruption in the early stages of pregnancy is also common. However, not always any abruption of the placenta entails interruption of pregnancy. In the event that the area of detachment is relatively small, often doctors manage to keep the pregnancy. The first thing a woman should remember is that the threat of detachment of the placenta at a small pregnancy is not less than in the last months. At a small gestation period, a woman should sound the alarm in case she noticed the following symptoms:
- Painful sensations in the lower abdomen or in the lumbar region.
- Strong general weakness or headache, lowering blood pressure.
- Appearance of blood discharge. And pay attention - they can be both minor sukrovichnymi, and abundant scarlet.
Noticing the above symptoms,a woman should lie down as soon as possible and immediately call an ambulance. Of course, most expectant mothers are very much afraid, start nervous, cry, sometimes try to get to their doctor - the gynecologist. However, all these actions only aggravate the situation, because they provoke an even greater detachment of the placenta. So try to calm down first. As practice shows, doctors manage to save up to 70% of all such pregnancies. A woman must necessarily be hospitalized in a gynecological ward, where doctors will immediately begin a pregnancy-preserving therapy. In the same case, if the detachment occurred at a later date of pregnancy, if the pregnancy allows a child to survive outside the mother's body, doctors decide to carry out emergency delivery. In the event that the area of placental abruption is not very large, which means that the bleeding is not strong, the doctor will puncture the fetal bladder. This measure will stop the bleeding and will allow for delivery in a natural way. In the same case, if the bleeding is extensive, the delivery should be as soon as possible - therefore, an emergency cesarean section is performed. But even in this case, the future mother should not panic - in almost all cases, doctors manage to prevent tragedy and save life and health for both mother and baby.
Aging of the placenta
Another problem with whichface some future mothers - this premature aging of the placenta. And talking about the placenta, you can not fail to mention it. What is this phenomenon - premature aging of the placenta? As already mentioned above, complete formation of the placenta is completed by the beginning of the fourth month. As the child grows, the size of the placenta also increases - its full maturity comes about a month before the birth. The entire process of physiological aging is accompanied by a decrease in the surface area of the placenta and the appearance of salt deposits. In the event that the 2nd degree of maturity occurred earlier than at 32 weeks of gestation, or the third degree of maturity - before 36 weeks of gestation. Practically in all cases, when premature aging of the placenta takes place, it proceeds almost asymptomatically. If it occurred in the early term, pregnancy may possibly die or develop various fetal malformations. In the same case, if this occurred in late pregnancy, the fetal hypoxia development is typical, with all the ensuing consequences. There are many reasons that can cause premature aging of the placenta. The most common is:
- Previous pregnancies and complex births, which resulted in a violation of the normal structure of the walls of the uterus.
- Various endocrine diseases.
- Rhesus is a conflict pregnancy.
In the event that the expectant mother regularlyvisits a doctor - gynecologist, she can not be afraid of premature aging of the placenta, as the doctor will notice the beginning of the problem development in time, and therefore, will take all necessary measures. Remember that the doctor - gynecologist for you should become a benchmark for waiting for the baby. We advise you to read: