Signs of a healthy placenta

Signs of a healthy placenta

Generally speaking, the placenta will gradually grow in about two and a half to three months. At this time, the blood chorionic gonadotropin will reach its peak and then begin to gradually decline. At this time, the placenta has basically grown. After the placenta has grown well, there is generally no need to observe the progesterone value. If the placenta has not grown well or is relatively large, you must emphasize nourishment and pay attention to relief. You must be aware of some precautions in daily life.

Placenta relief method

1. Avoid lifting heavy objects: In the middle and late stages of pregnancy, you should be more careful about the details of your life. It is not advisable to lift heavy objects or exert force on your abdomen to avoid danger. 2. Suspend sexual activity depending on the situation: If there are bleeding symptoms or the pregnancy enters the late stage, sexual activity should not be performed. In addition, patients with milder placenta previa should also avoid too intense sexual activity or actions that compress the abdomen. 3. Seek medical attention immediately if you have bleeding: If you have bleeding symptoms, no matter how much blood is flowing, you should see a doctor immediately. If you meet a new obstetrician, you should also proactively inform him that you have a placenta previa. 4. Don’t be too tired: Pregnant women with high-risk pregnancies should rest more to avoid being too tired and affecting the smoothness of pregnancy and delivery. 5. Pay attention to fetal movement: Pay attention to whether the fetal movement is normal every day. If you feel that the fetal movement is significantly reduced, you need to see a doctor as soon as possible. 6. Choose a suitable prenatal check-up hospital: If you are a patient with third or fourth stage placenta previa, it is best to choose a large hospital or medical center for prenatal check-up so that problems such as premature birth and heavy bleeding can be dealt with immediately. 7. Do not over-exercise: Excessive exercise may also cause placenta previa bleeding or other symptoms. Therefore, this type of pregnant woman should not engage in strenuous exercise.

Differential Diagnosis

It should be mainly differentiated from placental abruption. Prenatal bleeding caused by other reasons, such as rupture of vela placenta previa, rupture of placental marginal sinusoids and cervical lesions such as polyps, erosions, cervical cancer, etc., can be diagnosed through vaginal examination, B-ultrasound examination and placental examination after delivery combined with medical history. 1. Medical history: Sudden, unprovoked, painless, recurrent vaginal bleeding in late pregnancy or during labor should be considered as placenta previa. If the bleeding occurs early and the amount is heavy, the possibility of complete placenta previa is high.

2. Physical signs: vary according to the amount of blood loss. Multiple bleeding episodes may cause anemia, and acute massive bleeding may lead to shock. The abdominal examination is the same as that of a normal pregnancy, except that the presenting part of the fetus is sometimes higher up. Excessive blood loss can cause fetal intrauterine hypoxia, and in severe cases, intrauterine fetal death. Sometimes a placental murmur can be heard above the pubic symphysis, but it cannot be heard when the placenta is attached to the posterior wall of the lower uterine segment. 3. Vaginal examination: Generally, only vaginal peepal and fornix palpation are performed. Endocervical digital examination should not be performed to avoid detachment of the placenta attached to that area, causing heavy bleeding. If it is complete placenta previa, it may even be life-threatening. Vaginal examination is suitable for confirming the diagnosis and deciding the mode of delivery before terminating pregnancy. It can only be performed under the conditions of infusion, blood transfusion and surgery. Vaginal examination should not be performed if the diagnosis is clear or if bleeding is excessive. In recent years, B-type ultrasound examination has been widely used, and vaginal examination is rarely performed.

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