Placenta Detached From Uterus Wall

1 Replies
Karin Silk - November 22

A close friend of mine is 6wks pregnant. When she went for her last scan, the gynaecologist told her that her placenta has detached itself from the uterus wall. He also mentioned something about her cervix. She cannot recall what exactly was said about the latter as she was in total shock. He prescribed a surpository (containing steriods) and advised her that she either takes this and keep her baby or she will lose it if not taken. Is this normal? She desperately would like to know what causes this problem, especially so early in her pregnancy. I know that the placenta can detach later in pregnancy but not so early. Please advise soonest as she has another appointment on Thursday 25 November 2004 and would like to know before then. We would really appreciate your help. thanking you in advance. Karin Silk

 

Audrey - November 22

You're right that most cases of detached placenta happen later in pregnancy. It can be caused by abdominal trauma, sudden loss of amniotic fluid, or the baby has an abnormally short umbilical cord. The condition is usually considered an emergency and should be treated right away. Treatments include continuous internal fetal monitoring, IV fluids, monitoring of vital signs. There is also "watchful management" if the fetus is not in distress, the mother's vital signs are stable, and labor is not imminent. Minor cases (those with no external bleeding or other symptoms) might heal on their own. I cannot find any mention of suppositories being used. Your friend should get a second opinion ASAP.

 

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