The Placenta Is Released Before Delivery?
I want to ask the treatment for a mother with 36 weeks of pregnancy whose placenta is released prematurely, what is the treatment in the hospital?
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Normally, the placenta will be released shortly after the baby is born. The placenta has the main function of attaching the baby to the uterus, delivering nutrients from the mother to the baby in the womb, as well as for the disposal of remnants of the baby's metabolism back into the mother's blood. If the placenta is released before the baby is born, this condition is called placental abruption. A detached placenta cannot be attached or reattached to the uterus, so handling placental abruption depends on the gestational age, location of the placenta, and how much the placenta is removed.
Basically, if only a small portion of the placenta is released, the mother will be advised to take a full rest. If the gestational age is very young when the release of the placenta occurs (still under 34 weeks), the doctor will try to delay labor as long as possible. The mother will be advised to rest completely (if the condition is unstable or the release of the placenta is large enough it will be recommended to be treated in the hospital, if the condition is stable enough the mother can rest at home) while given medicines to ripen the fetal lungs to ensure the baby is ready to live outside the womb when suddenly labor must be done immediately. When the gestational age is approaching 40 weeks (the baby is already quite mature), the doctor may suggest that labor be performed immediately or be maintained as late as possible (the closer to 40 weeks the better). If there is enough bleeding, you can also be recommended for a blood transfusion.
If there is complete removal of the placenta, delivery must be done immediately. If the condition of the mother and baby is stable enough, vaginal delivery can be done, but if the condition of the fetus is not too good (fetal distress) or if the mother's condition is also not too good due to too much bleeding, then labor by cesarean section is necessary.
It is best to discuss with the obstetrician who is treating you to know clearly which therapies need to be done according to your condition and your baby's.
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