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Re: abruption at 25 weeks

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 16 Apr 2000 11:52:04 -0500 (CDT)


At Sat, 15 Apr 2000, jennifer wrote: >
>I atarted bleeding 2 weeks ago and after an ultrasound was told I'd had
>a slight placental abruption. I'm concerned because I am still
>bleeding. Tne blood varies from spotting, to sometimes soaking a pad
>overnight, both red and brown blood. I'ma healthy 30 year old, in my
>first preganancy, who (normally) leads a very active lifestyle. My
>questions are
>1. Does anyone know what my chances are of carrying to full term?
>2. Does the continued bleeding give me cause to worry that my baby is
>in trouble in any way?
>3. Is it possiblt that the bleeding may just carry on and there is
>nothing to be done about it?
>4. If the bleeding does stop, can I resume normal physical activity?
>5. Assuming the bleeding stopped, is intercourse likely to aggravate
>the abruption?
>Other than the bleeding the pregnancy had been very easy with no
>complications att all, I would really appreciate any feedback and also
>if anyone knows of some literature on abruptions I would be really
>interested!!!Thanks for your time!!Jennifer

Jennifer Well all I can tell you is that there are abruptions and then there are ABRUPTIONS. Some abruptions are just marginal separations of the edge of the placenta. They can continue to cause this 'crummy' bleeding for a long time. I would continue to be very conservative in my activity, and would not increase my activity (physical or sexual) until I checked it out with my physician. An ABRUPTION is a catastrophic condition. It usually involves the middle part of the placenta, causing continuous contractions, heavy bleeding, and often times death to the fetus and abnormal bleeding problems in the mother (DIC). Good Luck to You.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand my inability to respond to private emails.

*This communication is intended for educational purposes only. It is not intended to replace an evaluation by a qualified health care provider, and is not a patient-doctor relationship.




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