Beware of Antepartum Bleeding during Pregnancy

Some cases of bleeding during pregnancy may not be a serious thing. However, there are some bleeding that should be wary of, for example antepartum bleeding that can make a fetus die in the womb. Antepartum hemorrhage is vaginal bleeding that occurs at more than 24 weeks' gestation. Antepartum hemorrhage is one of the emergency conditions that need immediate treatment. If not followed up quickly, this bleeding can cause death in both the mother and the fetus. In Indonesia alone, bleeding is one of the five main causes of death in mothers besides hypertension in pregnancy, prolonged / stalled labor, infection, and miscarriage. In 2013, as many as 30.3% of maternal deaths in Indonesia were caused by bleeding.

Causes of Antepartum Bleeding

Medical experts continue to conduct various studies to find out the exact cause of antepartum hemorrhage. But until now, of all cases of antepartum hemorrhage, some have been diagnosed as a result of a torn placenta, placenta previa, preterm labor and cervical disorders. Even so statistically, about 50 percent of cases of antepartum hemorrhage can not be known the exact cause despite a thorough examination.

Antepartum Bleeding Symptoms to Watch Out for

The main symptom of antepartum bleeding is blood coming out of the vagina. This bleeding can be accompanied by pain or not. If accompanied by pain, the possibility of bleeding is caused by a tear in the placenta. But if on the contrary, most likely the cause is placenta previa. Another symptom of antepartum bleeding is uterine contractions. There can also be signs of hypovolemic shock to the mother due to heavy blood loss. These signs of shock are dazed, pale, breathing rapidly, cold sweating, reduced urine production or no urination at all, faint, and faint. Sometimes, for pregnant women who are fit and young, these signs are not visible and are only known when the condition has worsened.

Do This If You Have Antepartum Bleeding

Do not consider trivial even though only a little blood comes out. Because there is a possibility of severe bleeding that has not completely come out. When there is heavy bleeding, maternal safety will always be the first priority. Decisions related to the birth of a baby must wait until the mother's condition is stable. Regarding the big or small category of bleeding, you can look at this picture to find out:
  • Major bleeding, when the body loses more than 1,000 ml of blood with or without signs of shock.
  • Moderate bleeding that is if the body loses 50-1000 ml of blood and is not accompanied by signs of shock.
  • Minor bleeding is when the body loses less than 50 ml of blood and has stopped.
Another case when fetal distress occurs. The emergence of this condition is an indication of a reduction in blood volume. This is an urgent situation, in which the baby must be removed without the need to consider the age of the fetus. Antepartum hemorrhage is a serious condition that needs to be treated as quickly as possible by a doctor. To replace the blood and body fluids that come out of bleeding, the mother needs to get fluid therapy and blood transfusions. At a later stage, further treatment depends very much on the cause of the antepartum hemorrhage itself, the level of bleeding, the state of fetal distress, the condition and age of pregnancy, and your medical history.

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