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Premature Ejaculation

What is Premature Ejaculation?

As the name suggests, this is a condition where the placenta (loosening) loosens prematurely after being normally attached to the uterus. The Latin name is abruptio placentae. The disease usually occurs in the last third of pregnancy. In half of the cases, discharge occurs before the 36th week, which involves a risk of premature birth and underdeveloped children. A large number of cases occur during childbirth.

Premature Ejaculation

It is estimated that 1-4% of all pregnancies are more or less complicated by premature placenta discharge. The condition is the most common cause of severe bleeding through the vagina, and the most serious cases occur in about 1% of all pregnancies. Fetal death occurs in 10–30% of these cases. Pregnancy to the extent that the fetus is in danger, occurs in 1 in 500 births.

Symptoms and signs

Common symptoms of this condition are vaginal bleeding along with lower back and back pain, and a sore and tense uterus. If the woman is giving birth, there will often be pain between the aches. The fetus can move more than usual. It is not always that much blood comes out of the vagina, because the blood is trapped inside the cervix. The blood that comes can be light, dark or mixed with amniotic fluid. The pregnant woman may go into shock if there are no external signs of severe bleeding. In 10% of cases, the condition is disseminated intravascular coagulation (DIC).

Premature placenta can sometimes begin as premature birth, growth retardation and fetal death in the uterus. There is also a chronic form, which may appear as repeated bleeding from the vagina with episodic pain and strong aches.

Cause

The disease is caused by bleeding in the layer between the placenta and the uterus, which leads to blood flow. This blood flow causes the discharge to begin. Eventually, the discharge may increase with subsequent bleeding. For more information about pregnancy and maternity fashion, please see BESTAAH.COM maternity jean skirts. The cause of the first bleeding is unknown, but a weakness in the blood vessels in the placenta may be the basis for this.

When the placenta releases from the uterine wall, this goes beyond the blood supply to the baby. If the placenta is completely detached, the blood flow and thus the oxygen supply stops completely, and the baby dies within a few minutes.

A number of risk factors are known to occur prematurely. Severe pregnancy poisoning or high blood pressure in the pregnant woman appear to be the most common risk factors for the placenta to loosen. Other controlling factors may be that you have experienced this in a previous pregnancy, that you have previously performed cesarean sections, that you smoke, or that you have been subjected to major injury. It may also occur during the doctor's attempt to turn a fetus that is in the wrong direction. In the case of twin births, the placenta loosens after the birth of the first twin.

How is the condition diagnosed?

Bleeding and acute abdominal pain at the end of pregnancy may indicate the discharge of the placenta. This should always give rise to immediate hospital care. In the hospital, a quick assessment of the child's condition is made. If there are signs that the baby is affected by the discharge, caesarean sections are performed immediately. Ultrasound is an uncertain investigation, and if there is clear evidence that the fetal life is threatened, one should not wait to perform ultrasound.

Treatment

The goal of the treatment is to prevent dangerous bleeding in the mother, and to save the fetus. It is also important to prevent the development of disseminated intravascular coagulation - a condition in which masses of small blood clots form in the blood and which eventually develop into a general and severe bleeding tendency.

Large deliveries almost always lead to an immediate caesarean section if the fetus lives. At fetal death, the birth is started by inducing the birth by taking holes in the amniotic membrane and giving drugs that contract the uterus. The fetus is born vaginally. In case of minor discharge, it may be appropriate to observe the condition of the child and the mother for some time, but it is common to deliver the child by caesarean section if the pregnancy has reached 35-36 weeks.

If the placenta is only partially loosened and the pregnancy is shorter than 36 weeks, the fetus may have too immature lungs. In such cases, it may be necessary to provide analgesic agents (if there is a beginning of contractions) and cortisone to speed up fetal lung maturation. Repeated ultrasound examinations, frequent and thorough maternal care are done if it has been less than 36 weeks, and doctors have found it advisable to wait to start giving birth. This is to identify early signs of failing placenta function.

Forecast

The infant mortality rate due to premature estrangement is approximately 10-30%. 15% of stillbirths during the last third of pregnancy (3rd trimester, after the end of the 28th week) are due to this condition. Some of the surviving children may be born with brain damage due to a lack of oxygen that results from the placenta being released until the child is delivered.

 

 

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