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Re: abruption at 25 weeks

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Sun, 16 Apr 2000 09:12:34 -0500 (CDT)


At Sat, 15 Apr 2000, jennifer wrote: >
>I'm a very active, healthy 30 year old in her first preganancy. I had a
>minor abruption two weeks ago and have not stopped bleeding yet. The
>bleeding ranges from spotting to soaking a pad overnight, sometimes. I
>am concerned about the ongoing bleeding, is it affecting my baby? What
>are my chances of carrying this baby to full term and having a regular
>delivery? If the bleeding stops, id it safe to return to work(fairly
>physical work, but I am very accustomed to it)? I know there are no
>magical yes/no answers to these questions but any information regarding
>this would be very appreciated. Jennifer

Placental abruption (premature separation of the placenta from the uterine wall) is usuually associated with a significant amount of pain. Lacking that, one would think that this kind of bleeding might come from a low lying placenta or a muh more benign condition referred to as marginal abruption of the placenta. Marginal abruption is where just the very edge begins to separate. This is usually painless bleeding. It has a tendency to come and go, but seldom gets real heavy. In genereal the best thing to do is to stay down and to watch.

RDB

--
R.Daniel Braun, MD  FACOG   FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

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