Tuesday, May 22, 2012

Placenta Praevia


During my last antenatal check-up at Klinik Kesihatan, i did tell you that I ada lagi satu berita yang tak berapa best kan besides we'll be having a baby girl? 

So, the result is I've again been diagnose of having a Placenta Praevia iaitu dalam bahasa mudahnya uri kat bawah. I kata again sebab masa Harits Haidar dulu pun complication adalah Placena Previa and end up kena emergency c-zer coz ada bleeding and mild-contraction. Haih. Or maybe ini sign nak suruh beli Proton Preve kot DD? Kahkahkah ;p Sorry, sempat pulak nak bergurau laki bini. Huhuhu.

Jadi lepas check-up tu doktor kat KK terus bagi refferal letter untuk jumpa pakar OB&G di Hospital Putrajaya. Appointment adalah Khamis ni untuk buat details check-up pulak. Takut but at the same time kena terus berdoa agar tak ada apa-apa komplikasi yang serius untuk problem ni. Harapan saya nak sangat bersalin normal & nak sangat husband berada di sisi semasa proses bersalin tu.

So, hasil reseach & googling ini yang saya dapat daripada sumber-sumber sahih berkenaan Placenta Preavia ni. Bercampur-campur dalam english & BM ye puan-puan. Macam saya jugalah, suka tulis suka hati, caca-merba. Huhu.


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. - Ini situasi saya sekarang. Marginal Placenta Preavia. Baby dalam kedudukan songsang sebab tak boleh nak pusing terhalang dengan kedudukan uri yang kat bawah tu.


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'll be asked to come into hospital when you are 34 weeks pregnant. Usually, you'll be recommended to have a planned caesarean when you're between 37 weeks and 38 weeks pregnant. Because you may be more vulnerable to bleeding during the operation, a blood transfusion will be on standby, just in case. 

If you're bleeding heavily 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 (RCOG 2005a, 2005b)


So, memang tak ada specific treatment. just wait & see jela. Sebab benda kat dalam kan? Nak urut pun tak berani. BIG NO! Tak best... Tak sest sebab tak boleh nak buat apa-apa...Tapi Husband saya dah buatkan air penawar (Al-Fatihah 70x & selawat 3x pastu doa untuk wifey lah).  Di samping saya pun berdoa dan selawat pada baby hari-hari. Semoga usaha yang kecil ini berhasil.


If I have placenta praevia, 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 (RCOG 2005a). If your iron levels are low your doctor 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. 


Source: www.babycenter.com.my/pregnancy/complications/placentapraevia/


Akan bersambung dengan sumber sahih lain selepas ini. Stay tune peeps! :)


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