ada neh non artikel plasenta prev (kebetulan menginjak kehamilan 4 bulan 
gw ada keluhan yg sama) cuma gitu...plasenta prev ga bisa diobati, tapi 
ada kasus akan memutar or balik keatas dg sendirinya (teori balon klo 
ditiup  makin gede makin bergeser) inipun klo kehamilan msh kecil...
dan Puji syukur berkat doa... awalnya gw ada keluhan plasenta nutup jalan 
lahir...kemarin USG lagi...plasenta dah geser keatas ....lagi2 
alhamdulillah....
bil ma temennya ga bole cape2, istirahat yg cukup, banyak ngobrol ma 
janinnya..(klo gw en suami, nayla ngajak ngomong  ma dede...alias ngaajak 
dedenya narik plasenta geser keatas...wallahualam sih..namanya usaha)...



Sefty

" Bekerja keras tanpa beristirahat akan menghasilkan org seperti Jack yg 
mati dg cepat dan Jean seorg  janda yg kaya"



What is placenta previa?
If you have placenta previa, it means that your placenta is lying 
unusually low in your uterus, next to or covering your cervix. The 
placenta is the pancake-shaped organ — normally located near the top of 
the uterus — that supplies your baby with nutrients through the umbilical 
cord.

Placenta previa is not usually a problem early in pregnancy. But if it 
persists into later pregnancy, it can cause bleeding, which may require 
you to deliver early and can lead to other complications. If you have 
placenta previa when it's time to deliver your baby, you'll need to have a 
c-section.

If the placenta covers the cervix completely, it's called a complete or 
total previa. If it's right on the border of the cervix, it's called a 
marginal previa. (You may also hear the term "partial previa," which 
refers to a placenta that covers part of the cervical opening once the 
cervix starts to dilate.) If the edge of the placenta is within 2 
centimeters of the cervix but not bordering it, it's called a low-lying 
placenta. The location of your placenta will be checked during your 
midpregnancy ultrasound exam.


What happens if I'm diagnosed with placenta previa?
It depends on how far along you are in pregnancy. Don't panic if your 
second trimester ultrasound shows that you have placenta previa. As your 
pregnancy progresses, your placenta is likely to "migrate" farther from 
your cervix and no longer be a problem. (Since the placenta is implanted 
in the uterus, it doesn't actually move, but it can end up farther from 
your cervix as your uterus expands. Also, as the placenta itself grows, 
it's likely to grow toward the richer blood supply in the upper part of 
the uterus.)

Only about 10 percent of women who have placenta previa noted on 
ultrasound at midpregnancy still have it when they deliver their baby. A 
placenta that completely covers the cervix is more likely to stay that way 
than one that's bordering it (marginal) or nearby (low-lying).

Even if previa is discovered later in pregnancy, the placenta may still 
move away from the cervix (although the later it's found, the less likely 
this is to happen). You'll have a follow-up ultrasound early in your third 
trimester to check on the location of your placenta. If you have any 
vaginal bleeding in the meantime, an ultrasound will be done then to find 
out what's going on.

What will happen if my previa persists?
If the follow-up ultrasound reveals that your placenta is still covering 
or too close to your cervix, you'll be monitored carefully, have regular 
ultrasounds, and need to watch for vaginal bleeding. You'll be put on 
"pelvic rest," which means no intercourse or vaginal exams for the rest of 
your pregnancy. And you'll be advised to take it easy and avoid activities 
that might provoke bleeding, such as strenuous housework or heavy lifting.

Bleeding from a placenta previa happens when the cervix begins to thin out 
or dilate (even a little) and disrupts the blood vessels in that area. 
It's usually painless, can start without warning, and can range from 
spotting to extremely heavy bleeding. If your bleeding is severe, you may 
have to deliver your baby right away, even if he's still premature. You 
may also need a blood transfusion.

It's unusual for bleeding to start before late in the second trimester, 
and about half the time it doesn't begin until you're nearly full-term (37 
weeks). The bleeding will often stop on its own, but it's likely to start 
again at some point. (If you have bleeding and you're Rh negative, you'll 
need a shot of Rh immune globulin, unless the baby's father is Rh 
negative, too.)

If you start bleeding or have contractions, you'll need to be 
hospitalized. What happens then will depend on how far along you are in 
your pregnancy, how heavy the bleeding is, and how you and your baby are 
doing. If you're near full-term, your baby will be delivered by c-section 
right away. If your baby is still premature, he'll be delivered by 
c-section immediately if his condition warrants it or if you have heavy 
bleeding that doesn't stop.

Otherwise, you'll be watched in the hospital until the bleeding stops. If 
you're less than 34 weeks, you may be given corticosteriods to speed up 
your baby's lung development and to prevent other complications in case he 
ends up being delivered prematurely.

If the bleeding stops, and both you and your baby are in good condition, 
you'll probably be sent home. But you'll need to return to the hospital 
immediately if the bleeding starts again. If you and your baby continue to 
do well and you don't need to deliver early, you'll have a scheduled 
c-section at 37 weeks.

No matter when you deliver, if you still have placenta previa, you'll need 
a c-section. With a complete previa, the placenta blocks the baby's way 
out. And even if it's only bordering the cervix, you'll still need a 
c-section in most cases because the placenta could bleed profusely if the 
cervix dilated.

What other complications can placenta previa cause?
Having placenta previa increases your risk of heavy bleeding not only 
during pregnancy but also during and after delivery. Here's why:

After a baby is delivered by c-section, the obstetrician delivers the 
placenta and the mother is given Pitocin (and possibly other medications). 
This causes the uterus to contract, which helps stop the bleeding from the 
area where the placenta was implanted. But when you have previa, the 
placenta is implanted in the lower part of the uterus, which doesn't 
contract as well as the upper part — so the contractions are not as 
effective at stopping the bleeding.

Women who have placenta previa are also more likely to have a placenta 
that's implanted too deeply and doesn't separate easily at delivery 
(placenta accreta). Placenta accreta occurs in only one out of 2,500 
births overall, but your chances of having this problem are one in ten if 
you have placenta previa when you deliver your baby. Placenta accreta can 
cause severe bleeding, and a hysterectomy to control the bleeding and a 
blood transfusion may be required.

Finally, women with placenta previa are more likely to have a 
low-birthweight baby — mostly because they may need to deliver early, but 
also because of a slightly increased risk of intrauterine growth 
restriction. 
Who's most at risk for placenta previa?
Most women who develop placenta previa have no apparent risk factors. But 
if any of the following apply to you, you're more likely to have this 
complication: 
•  You had placenta previa in a previous pregnancy. 
•  You're pregnant with twins or higher-order multiples. 
•  You've had c-sections before. (The more c-sections you've had, the 
higher the risk.) 
•  You've had some other uterine surgery (such as a D&C or fibroid 
removal). 
•  You're a cigarette smoker. 
•  You use cocaine.

Also, the more babies you've had and the older you are, the higher your 
risk. 




"Noni" <[EMAIL PROTECTED]> wrote on 11/22/2007 07:31:20 AM:

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> Your mail has been scanned by InterScan.
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> 
> 
> mmm...
> 
> sekretaris bos barusan sms lagi, ternyata dia juga kena plasenta 
previa...
> 
> yg kemaren ngebahas2 itu, masih ada artikelnya gak ya?
> kemaren dakuw cuman nyimak tapi gak nyimpen...
> tolong forward-in lagi yaaa buat kasih info2 ke sekretaris bos
> 
> tengkiuuuuu
> 
> 
> 
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