Placenta accreta: symptoms, causes, diagnostic methods, possible risks for mother and child, treatment methods and recommendations from gynecologists

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Placenta accreta: symptoms, causes, diagnostic methods, possible risks for mother and child, treatment methods and recommendations from gynecologists
Placenta accreta: symptoms, causes, diagnostic methods, possible risks for mother and child, treatment methods and recommendations from gynecologists

Video: Placenta accreta: symptoms, causes, diagnostic methods, possible risks for mother and child, treatment methods and recommendations from gynecologists

Video: Placenta accreta: symptoms, causes, diagnostic methods, possible risks for mother and child, treatment methods and recommendations from gynecologists
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The placenta is an embryonic organ that allows the fetus to receive oxygen and nutrition during pregnancy. In the normal state of the woman and the correct course of pregnancy, the placenta is attached at the top of the uterus and remains there until the very time of childbirth. After the birth of a child, it exfoliates from the wall of the uterus and comes out.

Unfortunately, not everything happens according to the described scenario. It often happens that the placenta grows too deep into the muscle layer. In this case, the woman in labor needs urgent help and the intervention of doctors. If you do not pay attention to the problem in time, the consequences can be extremely negative and irreparable.

true placental accreta
true placental accreta

What are the reasons for violations

Too high density between the uterine wall and the body of the placenta is common, this may be due to various reasons:

  • Problems candue to a caesarean section that was performed during a previous pregnancy.
  • Also, the cause may be an abortion with the use of surgical cleaning. But it is not necessary for the germination of the placenta to be preceded by surgical interventions or inflammation. Among the reasons for such a violation may be developmental abnormalities during the formation of the placenta.
  • In addition, severe diseases can leave consequences that appear during pregnancy.

During the bearing of a child, various factors can also be observed that negatively affect the child's place and can provoke a tight attachment and accretion of the placenta. For example, if a woman endures severe stress while in a position, or suffers severe toxicosis, which is very difficult for her body.

multiple pregnancy
multiple pregnancy

Age

Problems with the placenta can also be age related. As a rule, women who carry a child after the age of 35 have a predisposition to serious anomalies during pregnancy. Before planning a baby at this age, the expectant mother should be carefully examined and consult a doctor. And often during the diagnosis, problems are identified that prevent a woman from bearing a he althy child. In this case, preliminary intensive treatment is required.

Multiple births

Multiple pregnancy is also a factor in placental problems. In this case, the woman, as a rule, is under more intensive supervision.doctors than one who carries one child.

Overweight

Another reason that can provoke an accreta of the placenta is the extra weight of the mother. During pregnancy, there are already too many factors for the occurrence of problems with hormonal levels, and being overweight only adds them.

True, it should be borne in mind that for each organism, the degree of influence of various factors is different. It all depends on the immune system, the protective functions of the body and other nuances.

how to diagnose placental accreta
how to diagnose placental accreta

How to recognize?

It is very difficult to detect too dense increment of the placenta to the uterus. Most of the cases of detection of a problem occur during childbirth. It is possible to find out in advance only about complex and difficult tolerable forms of the disease, when there are obvious symptoms.

One of the most striking manifestations is bleeding. It speaks of a partial accretion of the placenta, and, in addition, such a problem is very dangerous for bearing a fetus. When it comes to a full increment, then bleeding is not so likely, which means that there is practically no opportunity to learn about the danger. In this case, only a deep examination can show the real picture, but without primary signs, with the normal course of pregnancy, it is not prescribed.

According to experts, every woman who is at risk, that is, over the age of 35 and with multiple pregnancies, should undergo an ultrasound during pregnancy that can show a complete picture of the state of the placenta.

symptomsplacental accreta
symptomsplacental accreta

Pain as one of the signs of placental pathology

Another ambiguous sign of a dense accreta of the placenta is pain, pulling or aching. But this sign is also not a clear indicator and rarely becomes the reason for the appointment of a full-fledged examination of the placenta. Therefore, it would be good for women who feel such discomfort to undergo such an examination at least once during pregnancy on their own. Today, this is not a problem, since any examination can be done for a fee.

Also one of the important recommendations of experts is to keep a pregnancy calendar. This should be done not only for women who have a risk of interruption, but also with a favorable dynamics of the period of gestation. In such a calendar, you need to record all the changes that occur at the named time. Small discharge, red spots on linen, slight pain - all this should be described in detail. Such a thorough observation of her body by a woman gives more information to the doctor during the examination and allows timely identification of possible problems associated with the placenta.

accretion and attachment of the placenta
accretion and attachment of the placenta

Consequences of the problem

True placental accreta threatens women's he alth problems, and can also be a danger to the unborn baby. There is a risk of premature delivery, which in itself is not normal. There may be a lag in the development and growth of the baby. And during childbirth, all this can provoke such blood loss that is life-threatening.

Whenchildbirth, when it is clear that the placenta is very dense, it is most often sent for research, as it can be a carrier of infection and even a source of reproduction of cancer cells. That is why it is so important to recognize the increment in time and take action. This requires constant and careful medical supervision during pregnancy. Every suspicious moment of a pregnant woman should be reported to her doctor.

consequences of placenta accreta
consequences of placenta accreta

It is important that the procedure for the birth of the placenta itself is correct. The further state of the woman's he alth depends on the correct actions of the obstetrician. So, if a detachment was detected, then it is important that the entire placenta is completely outside. Leaving even a small part, you can get a strong inflammatory process.

Fortunately, today in many maternity hospitals, a woman has the opportunity to choose her own maternity staff. Those who are especially worried about their he alth are advised to make inquiries in advance and find out about the most experienced doctors and obstetricians to try to ensure that they take delivery. Of course, this does not give a full guarantee, because there is also a human factor. But the probability of a successful completion of the birth process will still be much higher than in any other option. And most importantly, the realization that everything is under the control of experienced professionals will significantly reduce the level of stress for the woman in labor. It is very important for her to be in a calm state.

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