After an Abruption Helping Patients Get It Right In The Next Pregnancy

Whenever there are pregnancy related problems, it is the goal of your gyno to help you 'get it right' and have a successful next pregnancy. In general the first best step is to get together with your provider and straighten out any health conditions that may be modifiable. If you have high blood pressure, that needs to be normalized. If you smoke, you should stop prior to conception. If you have metabolism problems like being overweight or diabetic, those conditions should be treated first. But sometimes, if the cause of the pregnancy related problem is not know, then it's not really possible to target therapies that can help you 'get it right' next time. One of the most feared complications of pregnancy is when the placenta separates before the birth of the baby causing bleeding, depriving the baby of oxygen and producing pain for the mother. The condition of this premature separation of the placenta is called placental abruption, and fortunately it is rather rare occurring in fewer than 1/2000 births in most studies. It placenta is not held in place by glue, and in fact we don't really understand all the factors that keep that placenta stuck on the wall of the uterus the way it supposed to be! Although it is known that women who have a placental abruption in one pregnancy are more at risk for this happening again, it is known that their sisters have risk, and there are some suggestions that blood pressure problems of pregnancy factor into this; basically there is no known specific tests that have been reliably showing to improve the pregnancy outcome after a placental abruption case! Gynos will still advocate modifying those risk factors that lead to pregnancy problems, but beyond that, most of the tests in pregnancy are too insensitive to really pick up impending abruption. So it turns out, that in this condition it's hard for us, until there is more research, to help our patients get it right.

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