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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Placental Abruption During Pregnancy?

Hi Doctor , I went yesterday to my doctor , I am in 37 weeks , she told me , there are small holes in my Placenta but it will not affect the baby , but if the holes size will increase in the coming few weeks , she will ask for early deliver , in addition the baby weight didn t increase since week 33 , also his heart rate wasn t that normal it increase then decrease in un normal manner , may you please advise me if this situation need serious attention . or I have to wait till next week as my doctor said .
Wed, 21 Aug 2019
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General & Family Physician 's  Response
Hello,

It is commonly caused due to high BP, abdominal trauma, when you are 35 plus in age or have some amniotic sac problem. Smoking, taking cocaine, alcohol, smoking may trigger it.

Quit, if you have any such addictions. In Placental Abruption the placenta starts to separate from the uterus much earlier than your baby is mature enough to get delivered.

You may have light vaginal bleeding, back pain, the baby is not growing as fast as it should.

Yes, it needs serious attention. Do not do any heavy work, stay relaxed. Count the baby movements, if your baby is too sluggish you need to get immediately hospitalized since you are 37 weeks. Your baby's heart rate needs to be monitored.

Before placental abruption gets severe your baby would need to be taken out by C-section if required. Your gynae may not take the risk of vaginal delivery.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Nupur K, General & Family Physician
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What Causes Placental Abruption During Pregnancy?

Hello, It is commonly caused due to high BP, abdominal trauma, when you are 35 plus in age or have some amniotic sac problem. Smoking, taking cocaine, alcohol, smoking may trigger it. Quit, if you have any such addictions. In Placental Abruption the placenta starts to separate from the uterus much earlier than your baby is mature enough to get delivered. You may have light vaginal bleeding, back pain, the baby is not growing as fast as it should. Yes, it needs serious attention. Do not do any heavy work, stay relaxed. Count the baby movements, if your baby is too sluggish you need to get immediately hospitalized since you are 37 weeks. Your baby s heart rate needs to be monitored. Before placental abruption gets severe your baby would need to be taken out by C-section if required. Your gynae may not take the risk of vaginal delivery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nupur K, General & Family Physician