Placenta Previa

Placenta previa (pluh-SEN-tuh PREH-vee-uh) dhukkuba yeroo ulfaa keessa mudatu yoo ta'u, halkanni guutummaatti ykn kutaa tokko qofa ba'aa dhalootaa (cervix) uffisee jira.

Mallattoon guddaan placenta previaa, dhiigni gugee irraa ba'u, diimaa ifaa ta'e, yeroo baay'ee dhukkubbiin ala, erga ulfa umurii torban 20 darbe booda. Yeroo tokko tokko, dhiigni xiqqoo ba'u dura, dhiigni baay'ee ba'u tokko ni jiraata. Dhiigni kun, wal dhiheessaa ulfaa duraa, dhukkubbii fidu, waliin uumamuu danda'a. Dhiigni kun, saala raawwachuu ykn qorannoo fayyaa keessatti uumamuu danda'a. Dubartoota tokko tokkoof, dhiigni kun, ulfaa ga'utti hin uumamu. Yeroo baay'ee, dhiigni ba'uuf sababa ifaa hin jiru.

Yoo haadha umurii ishii lammaffaa ykn sadaffaa keessa jirtu yeroo irraa dhiiga baate, bilisaan fayyaa ilaaltu keessan bilbilu. Yoo dhiigni baatu sun baay'ee yoo ta'e, yaalaa fayyaa hatattamaan barbaada.

Sababa qixaattii placenta previa hin beekkamu.

Placenta previaa caalaatti dubartoota kana keessatti baay'inaan mul'ata:

• Daa'ima tokko deesse
• Dhaloota C-section duraa qabu
• Uterusi irratti mallattoowwan hojii ykn yaala duraa irraa argamu qabu
• Ulfa duraatti placenta previa qabu
• Dhiiraa hin qabne itti fayyadamuun walqunnamtii hormaataa gargaaru (ART) erga raawwateen booda ulfa qabu
• Fetus lamaa caalaa qabu
• Umriin isaanii waggaa 35 ykn isaa ol ta'e
• Sigaaraa itti dhugu
• Koken itti fayyadamu

Yoo placenta previa qabaatte, ogeessi fayyaa kee fi ilmii kee ni hordofa jiraachuu balaa kanaa hir'isuuf:

• Dhiiga ba'uun. Dhiiga ba'uun cimaa, kan lubbuu namaa balaaleffatuu danda'u (hemorrhage) yeroo ulfaa, yeroo dhalachuu, ykn sa'aatii muraasa booda dhalachuu keessa uumamuu danda'a.
• Dhalachuun yeroo gahaa dura. Dhiiga ba'uun cimaan, takkaatti C-section gochuun ilmi kee yeroo guutu hin ga'in dura ni barbaachisa.
• Placenta accreta spectrum. Placenta previa, garee dhukkuba placenta accreta spectrum jedhamu waliin wal qabata. Dhukkuba kana keessatti, placentaa dhiiga keessa ykn gara balballa qaama ulfaa keessa ni guddata. Placenta accreta, yeroo ulfaa ykn yeroo dhalachuu fi booda dhiiga ba'uun balaa guddaa qaba.

Placenta previaa yeroo baay'ee, ykn yeroo wal'aansoo ultratasaawundiin ni hubatamu; kunis, yeroo waliigalaa haadha uumaa ilaalchaa, ykn erga dhiigni qaama saalaa irraa ba'ee booda ni ta'a. Haala placenta previaa hedduun isaa, yeroo qorannoo ultratasaawundiin saddeettamaffaa ji'aatti ni hubatamu.

Hubannoo jalqabaa kun, meeshaan ultratasaawundiin qaama garaa irratti hojjetamaa ni taasifama. Suuraawwan sirrii ta'an argachuuf, meeshaan ultratasaawundiin qaama saalaa keessa galfamu, inni 'wandlike device' jedhamu, fayyadamuun ni barbaachisa ta'a. Qorataan keessan, placentan ykn dhiigni ba'uu akka hin rakkisneef, ejjennoo meeshaichaa irratti of eeggannoo ni godha.

Placenta Previa: Understanding the Condition and Treatment

If a routine exam reveals placenta previa, your doctor will likely schedule more frequent ultrasound scans to monitor the placenta's position. This is important because the position of the placenta, in relation to the cervix (the opening to the uterus), can change.

In many pregnancies, the placenta shifts position as the uterus grows. This means the distance between the placenta and the cervix may increase, the placenta may move higher in the uterus, and the part of the placenta near the cervix might shrink. In these cases, the condition often resolves on its own.

If the placenta previa resolves, you may be able to deliver vaginally. If it doesn't resolve, a cesarean section (C-section) will be planned.

Any vaginal bleeding after 20 weeks of pregnancy is considered a medical emergency. You'll likely be admitted to the hospital's labor and delivery unit. You and your baby will be closely monitored, and you might need a blood transfusion if you lose blood.

If you're pregnant for 36 weeks or more, a C-section is usually scheduled to deliver the baby. If you experience significant blood loss or if there's a risk to your or your baby's health, a C-section might be needed sooner.

If this is your first episode of bleeding and it stops for at least 48 hours, you may go home. However, if you experience more episodes of heavy bleeding, you'll likely need to stay in the hospital.

When there's no bleeding, the goal is to prevent future bleeding and prepare for delivery as close to your due date as possible. To do this, you'll likely be advised to avoid:

• Sexual activity: This includes any activity that could lead to orgasm.
• Strenuous exercise: Avoid activities that are intense or exert a lot of effort.
• Heavy lifting: Refrain from lifting anything heavy.
• Prolonged standing: Try to avoid standing for long periods of time.

If you are sent home after your first episode of bleeding, you'll need to follow these guidelines to help prevent further issues.

You should seek immediate medical attention for any vaginal bleeding or contractions. Your doctor might ask about your support system at home, to ensure you have a way to get to the hospital quickly if needed.

Even if you haven't experienced any bleeding due to placenta previa, or if the bleeding has stopped, a scheduled C-section is typically planned sometime between weeks 36 and 37. If your delivery is scheduled before 37 weeks, your doctor may recommend corticosteroids to help your baby's lungs develop.