Uterine-placental apoplexy

Apoplexy of the uterine placenta (obstetric designation - apoplexy of the uterus and placenta) is an abnormal condition of the endometrium, as a result of which placental abruption occurs, the blood supply to the placenta is disrupted and fetal hypoxia occurs.

Women over 35 years of age are susceptible to apoplexy. It can occur in both the first and second pregnancies, but is more common during 2–4 pregnancies. The source of the anomaly is the destruction of the endometrial vessels and the adjacent layer of the placenta. The detached area leads to poor blood circulation in the placenta. The flow of blood into the placenta is stopped, which leads to a lack of oxygen and other important elements necessary for the development of the fetus. Hypoxia and excess histamine cause the development of severe cramping pain in the lower abdomen in a pregnant woman. In this case, periodic contractions of the uterus are observed. If a vessel of the submucosal placental attachment is affected, and there is no amniotic fluid between the uterus and the placenta, apoplexy develops, which often ends

Uteroplacental apoplexy is a dangerous disease that can lead to serious consequences for the health of the mother and fetus. In this article we will look at what uterine apoplexy is, how it occurs and what complications can arise after this disease.

Symptoms of applplexia

The main symptoms of uterine apoplexy include:

- Severe pain in the lower abdomen - Pain radiating to the anus or thigh bone - Bleeding from the vagina - Vomiting - Tachycardia - Weakness - Loss of consciousness

Uterine apoplexy is an acute gynecological disease characterized by aseptic (non-purulent) rupture of the uterine wall with the contents of the organ entering the abdominal cavity. Rupture occurs more often in the area of ​​the fundus and body of the uterus in young patients with preserved reproductive function. Sometimes, when carrying out certain types of diagnostics, apoplexy can be mistaken for an ectopic pregnancy. Treatment and diagnosis of pathology is carried out in a hospital. In case of apoplexy, emergency hospitalization of patients is indicated, which is carried out by the ambulance service. When diagnosing a pathology, management tactics (methods of pain relief, maintaining pregnancy, etc.) are determined individually depending on the form and severity of the disease, the age of the mother, her reproductive plans and the condition of the baby. The approach to preserving and bearing a child is chosen according to general principles. Before starting diagnostic tests, the doctor collects a detailed medical history, performs palpation, vaginal and rectal examination, and prescribes additional diagnostic methods, including ultrasound scanning, magnetic resonance imaging, laparoscopy and laboratory tests.