Second Child Placenta Accreta?

Illustration of Second Child Placenta Accreta?
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, thank God I tested the test pack today and the results are positive. Suddenly I immediately became worried about childbirth. In the past, my first child after birth, the placenta was sticky and curled by the doctor’s hand. Is there a possibility that this second child could happen? How to avoid it? Thank you

1 Answer:

Hello Mrs. Elsie! Congratulations on the pregnancy! Thank you for asking at HealthReplies.com.

Placenta accreta is a condition where the placenta is embedded in the muscle wall of the uterus. This condition usually requires surgery to remove the placenta and cannot only use the doctor's hand because it can cause heavy bleeding. The placenta that remains in the uterus after the birth of the baby is called retained placenta. Placental retention can occur because the uterine muscles fail to contract behind the placenta to make the placenta detach or the cervix has closed before the placenta comes out. Although rare, placenta accreta is also possible. However, placenta accreta requires surgery in its handling, as I have mentioned.

The occurrence of retained placenta in previous pregnancies does not increase the risk of retained placenta (including placenta accreta) in subsequent pregnancies. The risk of placenta accreta is higher in women who have had cesarean section or other surgeries on the uterus and older pregnant women. Low-lying placenta (placenta previa) can also increase the risk of placenta accreta. So far, no specific action can be taken to prevent placenta accreta. Patients with a high risk of placenta accreta are expected to undergo examination with an obstetrician to monitor whether placenta accreta occurs. If the examination results show that the patient has placenta accreta, the patient is usually advised to give birth by cesarean section.

Mothers should come to the gynecologist to conduct an initial examination and confirm pregnancy (visible fetal sac on ultrasound examination). If not, start taking pregnancy supplements, especially folic acid and iron, so that fetal development runs well. Check the condition of your pregnancy to the doctor regularly. Keep a good and balanced diet. Avoid raw or undercooked foods. Also avoid cigarettes and drinks that contain alcohol and caffeine.

That is the explanation that I can give. Hopefully this helps and I wish you a healthy pregnancy.

Regards,

dr. Selvi

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