Wah, kebetulan sekali nih kita punya masalah yang sama. Kehamilan keduaku saat ini masuk minggu 21 dan 2 minggu yang lalu dokter juga informasi kalau letak ari2ku di bawah. Mungkin ini yang menyebabkan seringnya bleeding pada masa awal kehamilanku. Dokterku bilang masih ada kemungkinan ari2 naik seiring dengan perkembangan kehamilan namun tidak bisa dibilang pasti. Karena plasenta previa cenderung membuat bayi sungsang atau posisinya tidak bagus untuk dilahirkan secara normal. Kalau ari2 sampai menutup jalan lahir, jalan terbaik adalah dengan ceasar.
Aku sempat khawatir karena aku ingin melahirkan secara normal seperti yang pertama. Aku coba cari2 info mengenai “plasenta previa” ini. Sekarang aku lebih tenang dan terus berdoa kepada Allah supaya aku bisa melahirkan secara normal. Dokterku juga wanti2 supaya tidak terlalu capek karena ari2 dibawah cenderung mengakibatkan bleeding. Tapi karena pekerjaanku mangharuskan aku untuk sering jalan, aku tetap melakukan aktifitas seperti biasa namun jika sudah terasa capek dan tekanan di daerah jalan lahir terasa sekali, aku istirahat dan duduk atau tiduran jika memungkinkan. Dalam arti aku tidak mau memaksakan diri. Malahan anak pertamaku yang beberapa hari lagi berumur 21 bulan kerap kali masih minta untuk digendong. Yang bisa aku lakukan adalah coba merasakan seberapa lama kekuatan badan ini bisa membopong anakku. Karena sebenarnya sudah harus mengurangi malahan jangan mengendong2 lagi. Tapi aku terlalu sayang untuk mengabaikan dia.. Selain itu aku juga coba lebih intensif bicara dengan bayiku supaya sama2 membantu... Mudah2an info berikut dapat memberikan tambahan info tentang plasenta previa ini. ps : maaf yah kalau rangkumannya agak sedikit berantakan. Anyway, hope they could help.. - pre - ------------------------------------------------------------------ www.mayoclinic.com/health/placenta-previa/DS00588/DSECTION=3& Causes Placenta previa occurs when the embryo implants in the lower part of the uterus and then grows to cover the exit. Doctors and researchers don't understand why this happens. They hypothesize that the condition may be related to: a.. Scars in the lining of the uterus (endometrium) b.. A large placenta, such as in multiple pregnancy c.. An abnormally shaped uterus www.mayoclinic.com/health/placenta-previa/DS00588/DSECTION=6& Screening and diagnosis Placenta previa is discovered by ultrasound, during a routine prenatal appointment or after an episode of vaginal bleeding. The condition is almost always detected before a woman or her baby is in significant danger. But this is just another reason to get regular prenatal exams. Diagnosis before 20 weeks of pregnancy You may be told that you have a low-lying placenta or placenta previa before 20 weeks of pregnancy, based on the results of a routine ultrasound. This is fairly common. Up to 15 percent of pregnant women show some evidence of a low-lying placenta or placenta previa during their midpregnancy ultrasound. More than 90 percent of these cases spontaneously resolve before delivery, as the uterus grows and the placenta migrates away from the opening of the uterus. However, your health care provider will monitor you closely to make sure that's the case. You may need extra ultrasounds to track the position of your placenta. The longer the placenta previa persists, the more likely it will be present at delivery. Diagnosis after 20 weeks of pregnancy Your health care provider may detect placenta previa late in pregnancy during an ultrasound for some unrelated reason. However, at this stage of pregnancy, vaginal bleeding is typically the tip-off. If you experience vaginal bleeding in the second or third trimester, you'll need to go to your doctor's office or the hospital to determine the cause of the bleeding. Placenta previa is one of the first things your health care provider will look for. In most cases, an abdominal ultrasound can identify the location of your placenta, so your health care provider can quickly confirm or rule out this condition. But a definitive diagnosis may require a combination of abdominal ultrasound and transvaginal ultrasound - which requires a wand-like device placed inside your vagina. If your health care provider suspects that you may have placenta previa, he or she won't do a vaginal exam, because it can trigger heavy bleeding. But you may undergo additional ultrasounds or magnetic resonance imaging (MRI) to detect the exact location of your placenta before delivery. These tests don't use radiation, like an X-ray, so there is no harm to your baby. If you have placenta previa, you may also be hooked up to monitors that check your baby's well-being. Treatment http://www.mayoclinic.com/health/placenta-previa/DS00588/DSECTION=8&; In general, treatment for placenta previa may include blood transfusions, bed rest and Caesarean delivery. But the details of your treatment depend on a range of factors, including: a.. The amount of vaginal bleeding b.. Whether the bleeding has stopped c.. The gestational age of your baby d.. Your health e.. Your baby's health f.. The position of the placenta and the baby dulu sih di kehamilan pertama 2 kali bleeding karena placenta previa (4 bulan dan 7 bulan) treatment yg disarankan dsog saat itu 1. banyak istirahat, bukan berarti diem terus dan duduk ya.. ya maksudnya yg normal aja yg biasa aja, jgn kebanyakan shopping hehehe 2. rajin berdoa dan sholat 3. jangan dipikirkan, percaya diri aja 4. kalau diakhir kehamilan masih placenta previa dan harus caesar percaya aja itu takdir Yang Maha Kuasa, jadi ga usah maksa pengen normal (artikel alasan alasan utk caesar http://www.mayoclinic.com/health/c-section/PR00078 "caesaran delivery when is it the best option?) 5. hubungan suami isteri sih dulu disuruh puasa, dsog memanggil suami secara khusus empat mata waktu itu untuk diskusi, minimal cari yang paling aman, krn plasenta dibawah membuat sensitif ada flek bila penetrasi artikel sex during pregnancy > http://parenting.ivillage.com/pregnancy/psex/0,,p85v,00.html ------------------------------------------------------------------------------- Risk factors The most significant risk factor for placenta previa is a previous Caesarean birth. However, other factors may also increase your risk of developing the condition: Having had placenta previa before Having had other children Being age 35 and older Smoking Carrying twins, triplets or more (nahh, ini nihh lucu juga yahh halo ternyata kembar... ) Previous uterine surgeries, such as myomectomy to remove uterine fibroids or dilation and curettage (D and C), in which the lining of the uterus is scraped for medical reasons, also seem to increase the risk of placenta previa. Complications If you have placenta previa, your doctor will monitor you and your baby carefully to reduce your risk of these serious complications: Massive bleeding (hemorrhage). One of the biggest concerns with placenta previa is the risk of severe vaginal bleeding, which can be heavy enough to cause maternal shock or even death. Premature birth. Placenta previa can lead to premature birth. Some women with severe bleeding actually need an emergency Caesarean birth sometime in the third trimester. Placenta accreta. In this condition, the placenta implants too deeply and firmly into the uterine wall, making it difficult for the placenta to spontaneously detach from the uterus after delivery. This can result in severe bleeding and the need for the surgical removal of the uterus (hysterectomy). This condition is rare, but it typically affects women with placenta previa or women who have had a previous Caesarean birth or some other uterine surgery. Related conditions These conditions are often grouped with placenta previa because they can cause vaginal bleeding in the late second or third trimesters. If you have vaginal bleeding late in your pregnancy, your health care provider will consider all three conditions before making a diagnosis. Placental abruption. Sometimes called abruptio placentae, this rare condition occurs when the placenta begins to separate from the inner wall of the uterus before birth. It can deprive the baby of oxygen and nutrients and cause heavy bleeding within the uterus that may be dangerous for the mother and her baby. Placental abruption can be a complication of placenta previa, but most abruptions happen in women without placenta previa. Vasa previa. In this rare condition, the umbilical cord develops in an abnormal place instead of in the center of the placenta, which allows the fetus's blood vessels to cross the cervix. This can result in rupture of the blood vessels, which causes life-threatening bleeding in the baby Treatment In general, treatment for placenta previa may include blood transfusions, bed rest and Caesarean delivery. But the details of your treatment depend on a range of factors, including: The amount of vaginal bleeding Whether the bleeding has stopped The gestational age of your baby Your health Your baby's health The posit ion of the placenta and the baby For marginal placenta previa or other forms with little or no bleeding If you have marginal placenta previa that was diagnosed during a routine ultrasound or another form of placenta previa but little or no bleeding, you may be allowed to rest at home, rather than being admitted to the hospital. But your doctor will want to see you regularly, to monitor your blood levels, your baby's development and the position of your placenta. The rules for bed rest depend on your individual situation. You may need to lie in bed, only sitting and standing when necessary. Or you may be advised to sit on the couch or in bed and to limit your activities. Either way, you'll need to avoid sexual intercourse, exercise and vaginal exams, which can trigger bleeding. You'll also want to avoid nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen, unless your doctor recommends them, because these medica tions may contribute to bleeding. And you'll need to seek emergency medical attention if vaginal bleeding starts. If your placenta doesn't cover the opening of your uterus, you may be allowed to attempt a vaginal delivery. But you'll be monitored closely, and you may need a Caesarean birth if there is heavy vaginal bleeding. For severe bleeding After an initial bleeding episode, women with placenta previa are often kept in the hospital, where a Caesarean birth is planned for as soon as the baby can be safely delivered. Ideally, your doctor will try to manage your condition until you've reached 36 weeks of pregnancy. In more severe cases, it may not be possible to wait, and you may need to undergo Caesarean birth earlier. If bleeding is severe, you may need a blood transfusion to replace lost blood. If bleeding occurs before the last few weeks of your pregnancy, you may also need medications to prevent prema ture labor, as well as corticosteroids. These potent medications can help make your baby's lungs more mature in as little as 48 hours. Underdeveloped lungs are one of the biggest problems facing premature infants, so corticosteroids can be an important step in helping an immature baby prepare for life outside of the uterus. For bleeding that won't stop If bleeding starts and can't be controlled, an emergency Caesarean birth is necessary for the sake of the mother and baby — even if the baby is premature. You may also undergo urgent Caesarean birth if monitors show a problem with your baby's heart rate. [Non-text portions of this message have been removed] ------------------------ Yahoo! Groups Sponsor --------------------~--> Get fast access to your favorite Yahoo! Groups. 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