Table of contents:
- Causes of Antepartum Bleeding
- Antepartum Bleeding Symptoms to Watch Out for
- How to Overcome Antepartum Bleeding
Some cases of bleeding during pregnancy may not be a serious thing. However, there are some bleedings to watch out for, for example antepartum bleeding which can cause the fetus to die in the womb
Antepartum bleeding is bleeding through the vagina that occurs at more than 24 weeks of gestation. Antepartum bleeding is an emergency condition that requires immediate treatment.
If not followed up quickly, this bleeding can cause death for both the mother and the fetus.
In Indonesia alone, bleeding is one of the five main causes of death in mothers, in addition to hypertension in pregnancy, prolonged/obstructed labor, infections, and miscarriages. In 2019, bleeding was even the number one cause of maternal death in Indonesia.
Causes of Antepartum Bleeding
Medical experts continue to conduct research to find out the exact cause of antepartum bleeding triggers. However, until now, of all cases of antepartum bleeding, some were diagnosed due to placental tears, placenta previa, premature labor, and disorders of the cervix.
However, in a small number of cases of antepartum bleeding, the exact cause cannot be determined even though a thorough examination has been carried out.
Antepartum Bleeding Symptoms to Watch Out for
The main symptom of antepartum bleeding is blood that comes out through the vagina. This bleeding can be accompanied by pain or not.
If accompanied by pain, the possibility of bleeding is caused by a torn placenta. But if it's the other way around, the most likely cause is placenta previa.
Another sign and symptom of antepartum bleeding is the onset of uterine contractions. There may also be signs of hypovolemic shock in pregnant women due to excessive blood loss.
Signs of shock include confusion, paleness, rapid breathing, cold sweats, reduced urine output or no urination at all, weakness, and fainting.
Sometimes, in pregnant women who are fit and young, these signs are not visible and are only known when the situation has really worsened.
How to Overcome Antepartum Bleeding
Don't take it lightly even though the blood that comes out is just a little. Because there is a possibility of severe bleeding that has not completely come out.
When there is heavy bleeding, the safety of the mother will always be the top priority. Decisions regarding the birth of the baby must also 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:
- Big bleeding, ie when the body loses more than 1000 ml of blood with or without signs of shock.
- Medium bleeding, ie when the body loses 50-1000 ml of blood and is not accompanied by signs of shock.
- Minor bleeding, ie when the body loses less than 50 ml of blood and has stopped.
It's a different case if there is fetal distress. The appearance of this condition is an indication of a reduction in blood volume. This is an urgent situation, where the baby must be removed without taking into account the age of the fetus.
Antepartum bleeding is a serious condition that needs to be treated as soon as possible by a doctor. To replace blood and body fluids that come out of bleeding, mothers need to receive fluid therapy and blood transfusions.
At a later stage, further treatment will depend on the cause of the antepartum bleeding itself, the level of bleeding, fetal distress, condition and gestational age, as well as your medical history.