What are the treatments for the condition?
Treatment varies depending on:
the amount of bleeding
the age of the fetus
the well-being of the fetus
whether the condition is complete or partial
the position of the fetus
the mother's well-being
whether labor has begun
In asymptomatic or mild cases, bedrest and no sexual intercourse may be advised. As the uterus grows, the placenta may move to a safer position.
Other treatment may include:
using fetal monitors as needed
giving the mother fluids through a vein
monitoring the mother's vital signs, such as blood pressure, heart rate, and urine output
observing, but not interfering with, the pregnancy if tests and signs suggest mother and fetus are fine
giving the mother blood transfusions to replace lost blood if the fetus is immature, not in distress, and younger than 36 weeks old
allowing a vaginal birth if the mother and fetus are stable
giving the mother a cesarean section if she and the fetus are not stable
Once a fetus is 36 weeks old, a cesarean section is generally done to avoid potential complications for mother and baby. First, though, tests may be done to check fetal maturity.
What are the side effects of the treatments?
The treatments for this condition may be lifesaving. Possible side effects should be weighed against the loss of life. Any surgery can cause bleeding and infection. Blood transfusions and medications can cause allergic reactions.
What happens after treatment for the condition?
After the birth, the woman will be watched closely for signs of continued bleeding through:
frequent blood counts, or CBCs
blood tests to monitor the ability of her blood to clot
If the baby survives, he or she will be monitored in the intensive care unit.
How is the condition monitored?
A woman will be closely monitored throughout pregnancy to determine the status of the fetus, as well as her own health.