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Anterior Placenta During Pregnancy
The placenta develops in the first weeks of pregnancy. This flat, pancake-like organ is attached to the uterine wall and provides the developing baby with the oxygen and nutrients it needs, while also removing waste products via the umbilical cord. The placement of this organ can be at the front, back, or sides of the uterus, depending on where the egg gets fertilised. An anterior placenta pregnancy is when the placenta gets placed along the front of the uterus.
What is Anterior Placenta?
The fertilised egg, which will grow to become your baby, travels along the fallopian tube and embeds itself along the uterine wall. The placenta forms wherever this egg is embedded, which can be at the top, sides or in the front and back wall of the uterus. When the egg embeds itself along the front wall of the uterus, it forms an anterior placenta. You will know if you have an anterior placenta pregnancy during the ultrasound scan performed around the 20th week of the pregnancy. An anterior placenta baby is just as safe as any other baby, as its development is not impacted in any way. An anterior placenta pregnancy does the job of nourishing your foetus.
Is Having an Anterior Placenta Considered a Problem?
All positions along the uterine wall are normal sites for the development of the placenta. Placental health and the development of the baby do not depend on its placement. Therefore, it is not a problem to have an anterior placenta.
In cases where foetal movements are not felt, even at the 23rd week, going for a foetal health assessment can be reassuring for mothers.
Despite its location close to the surface of your abdomen, an anterior placenta does not pose any additional dangers to the health of the foetus. This is because there are many layers - the thick uterine wall, abdominal muscles, and fat that insulate it from the exterior world.
Birth complications caused by an anterior placenta are few. It is only when the placenta is placed low on the uterine wall that birth complications may occur.
The placenta travels over the course of pregnancy and it is possible that a low-lying placenta will move into the upper part of the uterus and cause no complications by the time of delivery.
However, if the anterior placenta is lying very low in the uterus at the time of delivery, it might partly or completely block off the cervix. This would make a caesarean section necessary. This condition, called placenta previa, is a rare condition.
What Are the Symptoms of an Anterior Placenta?
An anterior placenta has no specific symptoms; it is only detected by the absence of a certain symptom. The doctor may suspect an anterior placenta if a handheld doppler will take a little longer to find the foetal heartbeat or the mother feels no movement by the 23rd week. A foetal assessment and ultrasound are a good idea in this case.
Complications in Pregnancy Due to an Anterior Placenta
An anterior placenta does not in general present any complications during gestation. However, it might seem vulnerable and prone to complications because of its position. This is the exception, rather than the rule. The placenta, being a vascular and blood-rich organ, means that any tearing, rupture, cutting or needling poses the risk of excess bleeding. Some of the anterior birth complications are:
An anterior placenta can pose complications during delivery if a caesarean section is required. The anterior placement could make incision placement more complicated or may result in more bleeding during the delivery.
Complications are faced during needle positioning during amniocentesis. This includes risks of seeding, bleeding, and tears in the membrane.
An anterior low-lying placenta has a chance of complications like placenta previa. This may partly or completely block off the cervix, necessitating a caesarean delivery.
Placenta accreta is a complication faced when the anterior placenta grows over the site of the old caesarean section scar and the placenta grows into, and through, the wall of your uterus.
Ultrasound and MRI scans can be used to diagnose all these conditions well ahead of delivery to make sure that plans for a safe caesarean birth can be made.
Is C Section the Only Birth Option?
If one has an anterior placenta, caesarean is not the only option while giving birth. If the vaginal opening is not covered, those having an anterior placenta have a good chance of giving birth normally.
Placental Grading
The placenta goes through a process of calcification and maturing over the term of pregnancy. It develops calcium deposits and some parts begin to die, only to be replaced with fibrous tissue. This calcification is the basis of grading of the placenta, with:
Grade 0
This is from inception in early pregnancy.
Grade I
This is at around 31 to 32 weeks of pregnancy.
Grade II
This is at around 36 to 37 weeks of pregnancy.
Grade III
This is at around 38 weeks of pregnancy; not before 37 weeks.
At grade III, the placenta is severely calcified. This calcification is considered a normal part of pregnancy, and not a source of concern.
Care needs to be taken in cases of premature calcification with pre-existing conditions like placenta previa, diabetes, high blood pressure or severe anaemia. This is because research indicates that if placental calcification occurs before the 32nd week of pregnancy, the baby may have a low birth weight.
Complications due to placental calcification are not common, and in most cases, calcification does not affect the development of the foetus.
Factors That Cause Placental Complications
An anterior placenta is not in itself a cause of complication. Complications occur only when it combines with additional conditions like an anterior low-lying placenta, placenta previa or a placental abruption. In all these cases, complications occur if a C – section is indicated or if the placenta gets detached from the wall of the womb.
Precautions to Take While Having an Anterior Placenta
Many pregnancy self-help sites and books teach techniques to make things easier during delivery for expectant mothers, which can be summarised as points for placental and mental health Some of the anterior low-lying placenta precautions include:
Eating Well
A well-nourished placenta is a healthy one.
Staying Hydrated
Your placenta needs fluids to process all the growing foetus' waste products.
Creating an Exercise Plan
Find an exercise with inversions and a stretching plan ideal for you through your pregnancy, and try to stick to it.
Not Worrying
The worst-case scenario is not the most likely to occur. Before you assume the worst, write down your symptoms that indicate this scenario and find out if the symptoms match your fears.
Making Good Lifestyle Choices
Do not abuse your body with stress, overwork, alcohol, drugs and over or under eating.
When to Contact Your Doctor
Once the doctor confirms that you have an anterior placenta, it is important to stay vigilant and watch out for vital signs and symptoms that could indicate a complication. Make sure to contact your doctor if you experience any of the following symptoms:
1. Vaginal Bleeding
If you notice any spotting or extensive bleeding, get in touch with your doctor to schedule a check up.
2. Abdominal Pain
Any abdominal pain out of the blue or even due to trauma to the stomach area, such as an accident or fall, is a cause for concern and should be checked out as soon as possible.
3. Uterine Contractions
Not to be confused with labour, if you experience abnormal uterine contractions that are fast or away from your due date, contact your doctor for a check-up to diagnose or rule out any complications.
4. Severe Lower Back Pain
You are likely to experience back pain during pregnancy, but if the pain is too severe to handle, contact your doctor immediately.
Above all stay happy. A happy frame of mind, along with timely medical intervention and expert consultations, makes for happy and healthy babies. Keep yourself prepared, and have a safe pregnancy! Read more
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Dog Bites In Children
Dogs are considered man’s best friend and it is natural to assume that your best friend will not harm you! But it is important to remember that dogs too can feel threatened or become over excited and knowingly or unknowingly lash out at you or your child in the one way they know best – biting. It is also a fact that children are more vulnerable to dog bites than adults. They are also the most likely to require inpatient hospital stay or reconstructive surgery in the aftermath of such injuries.
Why Do Dogs Bite Children?
You cannot predict when or why a dog is likely to bite your child. There are some reasons why a dog might bite. They are pack animals, and it is these instincts that determine most of their behaviour. A large number of dog bite incidents involve children under the age of five and dogs who are familiar with them. The following are some reasons why this happens:
Compared to very young children, some dogs can appear big in terms of size. This can give them a feeling of superiority that can then appear in the form of protectiveness of an object, territory, or a person.
Small children such as those aged under five, might not know their boundaries when playing with the family dog or a neighbour’s dog. The child might pull the dog’s tail or fur playfully but this can provoke the animal to bite.
When children get too close to a dog suddenly and startle it, the animal might react by attacking.
A sick or injured dog might bite.
When a dog perceives a running child as prey, it can lead to biting.
First Aid for Dog Bites in Kids
If there are no visible marks on the skin such as tearing or punctures, then usually it is not necessary to see a doctor. But, after administering first aid, it is best to seek medical opinion and err on the side of caution. Here is what to do if the family dog bites child:
Stem the bleeding by using a clean towel to apply pressure to the wound. You can also elevate the injured limb.
Use soap and water to clean the affected area and then hold it under running water for a while.
Dab dry, apply an antibiotic ointment and use a fresh bandage on the wound.
Types of Damage Caused By a Dog Attack
Besides the physical pain that your child is likely to endure as a result of being bitten by a dog, there is also bound to be a certain amount of emotional trauma to deal with as well.
Physical
Dog bites can be categorized from minor to severe. While minor ones only require a visit to the doctor and basic first aid, severe injuries might even require surgery. This is because severe injuries usually are the ones that occur on the head, neck, and face where the nerves and bones might easily be affected. Reconstructive operations may be required to repair this type of physical damage.
Emotional
The mental trauma that your child experiences as a result of a dog bite is likely to last a lifetime. This might also change your child’s perception of dogs and even pets forever. Getting your child evaluated for emotional trauma and seeking counselling can help them get through this.
Treatment
After administering first aid, it is best to seek out a medical opinion irrespective of the severity of the bite to avoid any further complications. The doctor might give your child a tetanus injection and also prescribe antibiotics to prevent or control infection. A plastic surgeon will be called in if the injuries need reconstructive surgery, especially when it is the face or neck.
Risks Associated With Rabies
If it is suspected that the dog has rabies, your child will need to be immunized within two days of being attacked. The dog can be quarantined and observed for ten days to determine the presence of rabies. If the animal is found to be free of rabies, then the immunization can be discontinued.
Prevention
Here are some simple tips that can help you keep your child safe from dog bites and attacks.
When choosing a pet dog, go for a breed that is known for its gentle nature.
Never leave your child unsupervised around a dog; even if it is the family pet that has been with you for long.
Avoid displays of affection that involve hugging and kissing or something similar that can put your face too close to the dog.
Do not approach a dog feeding her puppies.
Teach your child to deal with aggressive dogs. Tell them to stand still and look down if the dog seems unfriendly.
Make sure your children know not to tease dogs by snatching their toys or treats.
Dogs must not be disturbed when they are eating or sleeping.
Instruct your children to avoid unknown dogs and not to try and pet them.
Teach your family dog that good things happen when children are nearby.
Provide your dog with a child-free zone as a space to retreat to such as a kennel or a partitioned enclosure.
Encourage gentle behaviour towards dogs in your child.
If the dog is with its owner, always seek the owner’s permission before approaching the dog.
Tell kids that the dog will play with them only as long as it wants to and when it walks away, it means he has had enough for the time being.
Be sure to keep an eye on any new strays that wander into your neighbourhood and report them to the appropriate authorities.
If the skin is not punctured or disrupted, then basic first aid is likely to suffice. But be sure to call your doctor if you notice any of the following:
If you do not know the dog that bit your child. In this case, a rabies shot might be required.
The bite wound is quite deep or it is on your child’s face.
The bleeding doesn’t stop even after ten minutes of applying direct pressure.
If your child’s tetanus shot is overdue
When you notice signs of infection such as redness, swelling, pus, or the area being warm to touch.
Do not panic if your child is the victim of a dog bite. Administer first aid and then take your child to the nearest hospital or your doctor’s office for further evaluation.
This information is just a guide and not a substitute for medical advice from a qualified professional.
Also Read: How To Deworm Your Kid? Read more
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Let's Talk? 5 Times you and your Man Must!
Communication is key to any successful relationship. Talking things out instead of waiting till they escalate and turn into an argument is very important. There are times when you need to talk with your husband on priority.
All couples have their own way of communicating with each other. Sometimes you reach a stage in marriage where even if you don’t say a word you still know what’s on the other’s mind. However, talking is still key to a successful marriage. After all, if you don’t let each other know what’s bothering you, you won’t be able to work toward a solution.
When Should you Have the Relationship Talk with your Husband?
1. The Romance is Fading
It’s absolutely necessary to keep the spark alive in any relationship, but you must admit that it gets tough to do so once you’re married and the routine of life sets in. It gets even tougher once you have kids, and this is when you need to talk with your husband. Rekindle the fire and don’t let the romance die. Chances are, hubby feels the same way you do but may not know quite how to express himself.
2. You Feel You’re The Only One Making Compromises
To make any relationship work, both partners need to make compromises and adjustments. Compromise is not a negative word–you make one to keep the other person happy. However, if you start to feel like you’re the only one in your marriage who’s compromising, then it’s time to have a talk with your hubby.
3. He Doesn’t Support You Like He Should, or Did
Do you feel like he doesn’t have your back? Do you do everything yourself? Does he not stand up for you in front of friends and family? Let him know how you feel. He may not even realise he’s doing what he’s doing. Talk to him and tell him that you feel let down and that you need him to be someone who’s with you all the way.
4. You Feel Your Opinions Don’t Matter
Does he make important decisions without asking for your opinion? A successful marriage is based on a 50-50 partnership. Both of you are equals in this relationship, and you need to remember that. It doesn’t matter if you’re younger than him or older. All important decisions should be taken together. Otherwise, you’ll start feeling insignificant and unimportant.
5. You Feel Neglected and Sidelined
If you don’t remember to appreciate each other, you can start to feel ignored and even unloved. Getting caught up in the routine of life is normal, but doing the same thing day in and day out, without a word of love or appreciation, can be disheartening. Set the ball rolling by giving him a long kiss in the morning or a quick massage in the evening. He’ll soon get the hint!
Certain issues cannot be pushed under the carpet as they’re bound to come up sooner or later. If something is bothering you, take time out and go on a walk together. Discuss the issue calmly. This is the time when you need to talk with your husband. It can work wonders! Read more
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Vandana Sharma has added a new answer
Guardian of 0 children
14 hours ago
Q. please tale me how much dengerous for may 7 days old baby and she was 2.9 kg.
Vandana Sharma
Nutritionist
13 hours ago
A. Hello mom the blood sugar level of baby is quite low , could say hypoglycemia as well .
Dr Ghouse has added a new answer
Guardian of 0 children
13 hours ago
Q. hlw hospital bag main baby nd mom ke liye kiya kiya le jana chahiye???
Dr Ghouse
Paediatrician
12 hours ago
A. hospital bag mein baby ke essentials Deni hogi aap YouTube per dekh sakte hain. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Rashmi has added a new answer
Guardian of 0 children
12 hours ago
Q. my last period was on 29 February 2024 according to which I am 8 weeks 4 days pregnant but my usg scan shows 7 weeks 3 days
Rashmi
Mom of a 9 yr 7 m old girl
12 hours ago
A. For this purpose I’d like to tell you plus -1 or two weeks is completely normal to be seen during ultrasound till the time doctor does not say anything in order of you need to worry about the don’t worry like I said this can be commonly seen in one plus or 2+ weeks or minus weeks is fine
Sarika gupta has added a new answer
Expecting Mom due in 5 months
11 hours ago
Q. Am craving to have a burger at McDonald’s. Am 15 week pregnant.
Is it safe to have
Sarika gupta
Mom of 2 children
3 mins ago
A. Hello there ma’am please do not worry about it too much and it is better to avoid this at this time and also if you want to eat burger then it is better to make it a home . Thanks and take care
Dr Ghouse has added a new answer
Expecting Mom due in 6 months
11 hours ago
Q. It's my 12th week of pregnancy but last night I noticed some bleeding. So, my doctor prescribed Duphaston for 2 weeks. Is there anything to worry about? Please guide me.
Dr Ghouse
Paediatrician
10 hours ago
A. at present take rest and use medicines as advised by the doctor. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Laxmi Chavan-Sawant has added a new answer
Expecting Mom due in 3 months
4 hours ago
Q. I am 7 month pregnant with second baby I have severe abscess pain in armpit and buttocks pls tell me remedy for this ...Dr recommend antibiotics and ultracet pain tablet I have taken some doses of it but worried about the foetal development..does it hurt my baby
Read moreDr Laxmi Chavan-Sawant
Ayurvedic Gynaecologist
2 hours ago
A. You should have proper consultation with your treating doctor , as some examination or investigations may be needful, so that proper medications can be given And the treatment can be done very properly.
continue antibiotics regularly
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