Pak Hendri, Sebenarnya saya tidak penyimpan artikel ini, tapi saya carikan mudah-mudahan berguna bagi kita semua. Mamanya dafi What is placenta previa, and how common is it? With placenta previa, the placenta covers part or all of the cervix. About one in 250 pregnant women develop this complication, which can cause severe, often painless bleeding usually toward the end of the second trimester or later. Uncontrolled hemorrhage can jeopardize a woman's life and the life of her baby, although this is rare. If the bleeding doesn't stop or if placenta previa causes preterm labor, the baby will be delivered by c-section even if a woman's due date is weeks away. If an early ultrasound (between 12-14 weeks) shows the placenta near, or covering the cervix, don't be alarmed--it is most likely not placenta previa. As the uterus grows, it naturally pulls the placenta away from the cervix; in these cases, medical intervention generally isn't necessary. What are the warning signs? Painless vaginal bleeding during your third trimester can tip you off to the problem, and if this happens you should call your doctor or midwife immediately. But in many instances, there are no warning signs. In fact, most cases of placenta previa turn up during routine ultrasound exams. Leslie Louie, of Oakland, California, is an example of someone who was diagnosed with placenta previa too early for warning signs to have appeared. Three years after a normal pregnancy with her first baby, Louie had become pregnant again. Because she was over 35, her doctor performed a sonogram at 16 weeks; it showed that the placenta was closer to her cervix than it should have been. But none of the doctors in her group practice seemed concerned, so Louie continued her rigorous schedule. She even went camping and took a trip to Africa. Then a follow-up sonogram at 28 weeks showed that Louie's placenta was indeed covering her cervix. "Once my doctors realized it," says Louie, "they told me to watch for signs of bleeding." Her doctors also told her she would deliver by cesarean section and need to restrict her activities if she started spotting or bleeding. What they didn't say was that she'd also have to be on strict bedrest until she delivered her baby--something that took her by suprise when she began bleeding four weeks later. Who's at risk? Women who have delivered a baby by cesarean section or have previously been diagnosed with placenta previa face a higher risk with later pregnancies. If you're pregnant with twins, you're also more likely to develop placenta previa, though it's not clear why. And smoking increases the risk of fetal loss for women who have placenta previa. But most women who develop the condition have no apparent risk factors. How is placenta previa treated? Treatment depends on whether you're bleeding and how far along you are in your pregnancy. If the condition is diagnosed after the 20th week, but you're not bleeding, you'll probably be asked to cut way back on your activity level and increase the amount of time you spend in bed. If you're bleeding heavily, you'll have to be hospitalized until you and the baby have been stabilized. If the bleeding stops or is light you'll have to continue bed rest until the baby is ready to deliver. --end---- What is placental abruption? Expert: Joyce and Marshall Gottesfeld, M.D. Question: My wife had a placental abruption at 18 weeks. She doesn't fall into any of the high-risk groups for this (does not smoke, drink, do drugs, no accidents). What could have caused this to happen? She and the baby are fine now, but she's on bedrest for the rest of the pregnancy. Joyce and Marshall Gottesfeld: We're so sorry to hear about your pregnancy scare. We're glad both baby and mother seem to be doing well. Placenta abruption is a condition in which the placenta separates from the uterus prematurely. You're right, this condition is more common in mothers-to-be who smoke, do drugs, have had an accident, or abuse alcohol. Placenta abruption is also more likely to occur in mothers who are older, have hypertension, or took aspirin late in pregnancy. Bleeding is the main sign of placenta abruption, and it varies depending on the severity of the separation. Other signs include cramping and uterine tenderness, which again vary with the severity of the abruption. Unfortunately, in your case, there is no clear-cut reason for the cause of the abruption. At this point, conservatively managing the condition with bedrest will likely result in a good outcome. When the separation is minor, bedrest usually stops the bleeding. Sometimes, in mild cases, the mother can resume her normal routine after a few days of bedrest. Complete bedrest — no getting out of bed except to bathe and use the toilet — also works for moderate cases. When the abruption is severe — that is, when more than half of the placenta separates from the uterine wall — immediate medical attention and delivery are necessary. Since your wife is on bedrest, I'm assuming her separation was either minor or moderate. Nowadays, the good news is that with prompt attention and expert care, nearly all the mothers with placenta abruption and their babies survive this crisis. -----end------ --- Hendri Susanto <[EMAIL PROTECTED]> wrote: > rekan-rekan yang terhormat, > > apabila ada yang mempunyai artikel mengenai plasenta > turun > atau sesuatu yang mengenai plasenta, saya rasa ada > baiknya jika > di share ke yang lain............... > > iasanya Mama Dafi yang biasa punya > artikel.......silahkan bu dikirim kalo > ada > > > makasih buat semua > __________________________________________________ Do You Yahoo!? Yahoo! Mail - Free email you can access from anywhere! http://mail.yahoo.com/ >> Kirim bunga ke-20 kota di Indonesia? 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