Thursday 11 September 2014

Low Lying Placenta Part 1

Assalammualaikum korang
heee~
lama  x bersiaran kan
hmmm...~
harini br start keje balik
2 hari MC
ngeeee~
eh sk plak
sk la sb dpt cuti dan rehat2 kat umah
xsuka sbb kenapa kena MC


skrg ni dah masuk 28 minggu peknen
jap je dah masuk trimester 3
teringat2 lagi mabuk dan mual ms mula2 dulu
pitam lagi
kalau ikut kan hati mmg serik nk peknen lagi
smp aku ckp kat suami..
"x boleh ke arini tau ngandung pastu sok tros bersalin?"
suami aku senang je jawab
"ishh...redha la..sabar..tu semua kan pahala.igt senangkeAllah nk bagi pahala"

Astaghfirullah al azim...
terus insofff mak nak oiii

tapiiii
berita 2 hari lepas betol2 menggugat ketabahan aku
ceh...tabah ke...muahaha

pagi tu cm biasa la
siap2 nk g opis
cuma aku rs letih nya luar biasa
penat sangat
sampai opis naik tangga
dok kat kerusi rasa mengah nye ya ampun...
aku buat konklusi sendri la
perot makin besau thats why la mengah nye melampau
hati pon tenang kembali
heee~

tetiba rasa nak terberi
g la toilet dengan jaya nya
tapiiiiiiiiii....
aku nmpk ada tompokan darah lak kat pantyliner tu!!
waaa....tapi cpt2 sedapkan ati
tu darah buasir
hahaha
boleh?
tapi ati tetapla x tenang
aku tukar panty liner
setengah jam pastu aku cek lagi
ok sah!!
ada spotting lagi
dah rasa nak nangis
msg suami laju2 bagi tau
laju je dia balas

darah pe?
sakit ke?
banyak ke?

eh...
xtau!!

so aku decide nak g check
time tu plak aku lupa list klinik panel
tabah lak aku mencari kertas tu
hahaha

ok!!
ada..call klinik tros tnya doc apa tgh on duty
dia ckp doc Anbu
lulus!!
aku sk doc Anbu ni sbb dia bekas doc sakit puan kat hospital gomen
sambut org bersalin lebih 10 taon
dia india hokey!!
dan lelaki!!
kahkahkah~

penerangannya details nk mati
aku yg x paham pon boleh jd paham
dia patot jd lecturer la
ngeee~

masuk jumpa dia soklannya bertubi2

last period?
errrrr.....

edd?
errrr.....

last check up?
errrr......

last scan?
errrrr.....

last result?
mmmm.....

ok..baring..sy scan
datang la pembantu klinik dok teman kan aku
scan sana sini

tetibe?

nampak?

errr....nampakpe doc?

ni kepala baby u
uri dia ada kat tepi ni..
means u low lying placenta
sbb tu ada bleeding

pe jadah nye tu?
almost placenta praevia (PP) tp kita belom boleh confirmkan lagi sbb u br 28 minggu
bla....bla....bla....
mungkin ada possibility dia gerak sket sbb rahim u akan mengembang lagi
kalo xde perubahan next scan kita akan refer u ke pakar

haaaaaa~

baby?
baby u ok
aktif
jantong ok
kaki tangan cukop
jari cukop

tapi apsal saiz dia cm besar sket
hahaha~

so i kena watpe ni?

dok umah diam2
i xde ubat nak bagi
i boleh bg mc je
u rehat cukop2 bg bleeding tu stop @ kurang
tapi if makin banyak u tros g hospital
takot u hilang banyak darah
which is not good for u and baby
so skrg u kena rest cukop2
monitor baby's movement
minum air kosong byk2

aku : terkebil2...eh

balik opis teros gugel...


What is placenta praevia, and how common is it?

The placenta develops wherever the fertilised egg embeds in your uterus after its journey along the fallopian tube. Sometimes, it attaches itself to the lower part of your uterus. In this case, the placenta will develop in a low-lying position. 

If you have an ultrasound scan in early pregnancy and the placenta seems to be low-lying, near your cervix, don't be too worried. As your baby grows, your expanding uterus naturally pulls the placenta upwards away from your cervix. 

If the placenta is still lying low in your uterus after you are 20 weeks pregnant, it is called placenta praevia. Even at this stage, the placenta may still move up in time for your baby to be born. By the end of pregnancy, about one in 200 women has placenta praevia to some degree. Most of these are minor cases. 

If the placenta covers your cervix at the end of your pregnancy, your baby's exit route through your vagina will be blocked. The placenta may be partly covering your cervix (partial placenta praevia) or completely covering it (major placenta praevia). See our images, below. Either way, your baby will need to be born by caesarean section. 


Some women are more likely to have placenta praevia than others. You are more likely to have the condition if you: 
have had a caesarean section before
are a smoker
are over 35

How is a low-lying placenta diagnosed?

A low-lying placenta may be picked up during your mid-pregnancy anomaly ultrasound scan. This takes place when you're between 18 weeks and 20 weeks pregnant. If the placenta is just reaching or overlapping your cervix you'll be offered another scan at about 34 weeks to see if it has moved. 

In about half of cases, this late scan will show that the placenta has moved up and out of the way. If not, there's still time for it to do so. In about a quarter of cases, the placenta will have moved up after 34 weeks and in time for birth. 

If the placenta is completely covering your cervix, you should have a scan earlier, at 32 weeks, to check its position. If the scan result isn't clear, you can have a scan which is performed via your vagina. This shouldn't cause you any discomfort. The sonographer will carefully slip a specially shaped device into your vagina to view your uterus. Doing a scan via your vagina will give the clearest picture. 

Occasionally, placenta praevia is picked up in other ways:
If your baby is in a breech position or is lying across your bump (transverse position). This could be a sign that she is unable to get into a head-down position, because the placenta is in the way.

If you have painless vaginal bleeding in the second or third trimester. Call your doctor or midwife immediately if this happens. (Vaginal bleeding may also be caused by the placenta coming away from your uterus wall. This is called placental abruption, and you'll need to get medical help straight away.)

What complications are linked with placenta praevia?

Remember that only one in 200 women has placenta praevia, and most of these are minor cases. This means that complications seldom happen. However, when complications do arise, they can be serious. 

One rare complication is when the placenta embeds itself too deeply in the wall of the uterus. The placenta will stay attached to the uterus rather than coming away after your baby is born. This is called placenta accreta, and is more likely to happen if you've previously had a caesarean. 

If you have placenta praevia there is a risk that you may experience sudden, painless bleeding. This can happen during your pregnancy or your labour. You'll need emergency medical care if this happens, particularly if you've gone into labour early. Without treatment, severe bleeding (haemorrhage) can be life-threatening for both you and your baby. On the rare occasions it happens, this type of bleeding can be treated quickly. 

It is very unlikely that you would lose so much blood that it posed a grave risk to your health. But sometimes, doctors have to move quickly to stop the worst from happening. In this situation, they may need to protect your health by performing an operation to remove your uterus (hysterectomy). 

How is placenta praevia managed?

Managing placenta praevia is sometimes just a matter of watch and wait. Your medical team will keep track of where your placenta is lying. 

Your care will also vary depending on whether you've had any bleeding or not. If you've had no bleeding you'll probably be able to stay at home. You may be advised to avoid making love for the rest of your pregnancy. You should have someone to help you at all times and make sure you can get to hospital at a moment's notice. 

If you have had bleeding or you have placenta accreta you may be asked to come into hospital some time before your baby is born. Usually, you'll be recommended to have a planned caesarean when you're between 37 weeks and 38 weeks pregnant. However it may be necessary to have a caesarean sooner if you have heavy bleeding earlier in pregnancy. A senior obstetrician will carry out the caesarean. Because you may be more vulnerable to bleeding during the operation, a blood transfusion will be on standby, just in case. 

If you start bleeding before you're due to go to hospital, go straight to hospital so that the bleeding can be monitored. When it stops, you may be asked to stay in until your baby is ready to be born. If the bleeding doesn't stop, or you go into premature labour, your baby will need to be born by emergency caesarean section.

What can I do to help myself?

You can't do anything to change the position of the placenta. But you can make sure that you stay healthy and well. Eat plenty of nutritious foods, particularly those that are rich in iron. This will reduce your chances of becoming anaemic. If your iron levels are low your doctor or midwife may recommend that you take iron supplements. 

Having placenta praevia can be worrying for you, particularly if you are waiting to see if your placenta moves up. But there is plenty that can be done to keep you and your baby safe and well.