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Placental Abruption

What you need to know:
Placental abruption (also called abruptio placentae) is a serious condition in which the placenta separates from the wall of the uterus, partially or completely, before delivery. If this happens, the baby can be deprived of oxygen and nutrients and the mother can experience life-threatening bleeding.

Placental abruption occurs in about 1 in 100 pregnancies. It happens most often in the third trimester, but it can happen any time after about the 20th week of pregnancy. High blood pressure, cocaine use and cigarette smoking during pregnancy increase the risk of placental abruption. The main sign of placental abruption is bleeding. An ultrasound is used to help diagnose the condition.


What you can do:
Call your health care provider right away if you have any bleeding from your vagina, anytime during your pregnancy. If the bleeding is severe, go to the hospital right way. Depending on the severity of the abruption and the age of the fetus, the baby may be delivered prematurely, or delivery might be delayed while the baby matures.
 

What You Need to Know About Your Placenta

As a pregnant woman, you probably don't think too much about your placenta. Yet this wondrous organ is your baby's lifeline, the connection between you and your baby. It forms connections with your blood supply to help provide oxygen and nutrients to your growing baby. It connects with the baby's blood supply to remove waste products to the mother's blood, which are then disposed of through the mother's kidneys.

This little organ (at birth it weighs about a pound) also helps to protect your baby from infections and potentially harmful substances. Unfortunately, it is not a foolproof filter; it can't always distinguish good substances from bad. That's why pregnant women are advised to steer clear of substances that can cause harm to their baby like alcohol, drugs, cigarette smoke and herbal supplements.

The placenta forms from the same cells as your baby does. It attaches to the wall of the uterus. The baby's umbilical cord forms on the side of the placenta nearest the baby.

In most pregnant women, the placenta forms and grows just as it should. In some cases, however, the placenta does not grow properly, it is poorly positioned in the uterus, or it does not function properly. It may be too thick or too thin, have an extra lobe, or connect abnormally to the umbilical cord or fetal membranes. Infections and blood clots can also damage the placenta. Placental problems are among the most common complications reported in the second half of pregnancy. The most common placental complications are: placental abruption, placenta previa and placenta accreta.

After the baby is born, the placenta's job is done and it is usually delivered a few minutes after the baby. Your health care provider will examine the placenta after delivery to make sure it is complete and that no parts remain inside your body. If your baby has certain complications, such as slow growth or an infection, the placenta may be sent to a laboratory for further analysis, to help identify the cause of the problem.

September 2005

 

 


Information specialists at the March of Dimes answer your questions by e-mail.

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© 2008 March of Dimes Foundation. All rights reserved. The March of Dimes is a not-for-profit organization recognized as tax-exempt under Internal Revenue Code section 501(c)(3). Our mission is to improve the health of babies by preventing birth defects, premature birth, and infant mortality.