Therapy of a premature placental detachment
The therapy of premature placental detachment depends on the degree of detachment, the condition of the mother and the condition of the child. If there is little vaginal bleeding and the condition of the mother and fetus is unremarkable, bed rest and check-ups will be performed under inpatient conditions. This is especially the case if the pregnancy is still in an early stage.
Up to the 34th week of pregnancy, corticosteroids can also be used to induce lung maturity in the fetus. If the bleeding stops and the condition of the mother and fetus remains stable, the patient can also be discharged from hospital. In severe cases, the primary goal is to stabilize the mother’s circulation.
Close-meshed controls are necessary, whereby special attention is paid to the coagulation of the patient in order to be able to intervene in the coagulation process of the patient in case of abnormalities. If necessary, oxygen and blood is administered. If the condition of mother and child is endangered, an immediate delivery by caesarean section is initiated, independent of the time of pregnancy and even if the fetus is still not viable. A delivery is also aimed at in advanced pregnancies from the 37th week. If the condition of the patient and the fetus is stable, a vaginal birth can be attempted, otherwise a Caesarean section will be performed.
Prognosis of premature placental detachment
A higher degree of premature placental detachment poses a threat to the life of mother and child.In severe cases, maternal mortality is about one percent, whereas infant mortality is strongly dependent on the week of pregnancy and birth weight and varies between 10-50%. Depending on how quickly medical intervention is carried out, permanent or temporary damage to health can also occur. These include, for example, infantile brain and developmental damage caused by oxygen deficiency. An experienced premature placental detachment also increases the risk of recurrence in a subsequent pregnancy.
