{"id":7307,"date":"2024-08-19T01:40:40","date_gmt":"2024-08-18T23:40:40","guid":{"rendered":"https:\/\/lepatriotebenin.com\/?p=7307"},"modified":"2024-08-19T01:40:41","modified_gmt":"2024-08-18T23:40:41","slug":"sante-symptomes-causes-et-consequences-du-placenta-preavia-chez-la-femme-enceinte","status":"publish","type":"post","link":"https:\/\/lepatriotebenin.com\/index.php\/2024\/08\/19\/sante-symptomes-causes-et-consequences-du-placenta-preavia-chez-la-femme-enceinte\/","title":{"rendered":"Sant\u00e9\u00a0: Sympt\u00f4mes, causes et cons\u00e9quences du placenta preavia chez la femme enceinte"},"content":{"rendered":"\n

Le mercredi 10 janvier 2019, \u00e0 ma prise de garde, je re\u00e7ois une dame nomm\u00e9e Florence qui \u00e9tait inqui\u00e8te de son \u00e9tat de sant\u00e9. A cette soir\u00e9e-l\u00e0, cette dame d\u2019une vingtaine d\u2019ann\u00e9e me raconte une histoire \u00e9tonnante. Je reste tranquille en \u00e9coutant cette derni\u00e8re. Elle me fait comprendre que depuis six mois, elle a r\u00e9guli\u00e8rement eu ses menstrues et n\u2019a eu qu\u2019une seule fois des relations intimes avec son mari. Les maux de ventre r\u00e9p\u00e9titifs ces derniers jours l\u2019ont conduite \u00e0 aller r\u00e9aliser un examen de l\u2019\u00e9chographie qui d\u00e9couvre qu\u2019elle est enceinte de six mois environ. Comment est-ce possible ? Sur ce, je lui ai demand\u00e9 de me montrer l\u2019\u00e9chographie qu\u2019elle a faite. Une fois qu\u2019elle me remette les r\u00e9sultats de cette \u00e9chographie, je fais une lecture sommaire du contenu.  La conclusion est bien formelle. Nous pouvons retenir qu\u2019elle a une grossesse monofoetale \u00e9volutive au terme \u00e9chographique de six mois avec un placenta recouvrant totalement de grade 3. C\u2019est ce qui a tir\u00e9 mon attention. Je donne quelques explications \u00e0 mon invit\u00e9e pour qu\u2019elle puisse comprendre d\u2019o\u00f9 proviennent les maux de ventre dont elle souffle.  Je lui ai fait par la suite une esquisse de coquille qui illustre bien son probl\u00e8me et lui montre la gravit\u00e9. Ensuite j\u2019examine tr\u00e8s vite dame Florence.  Le diagnostic pos\u00e9 \u00e0 l\u2019\u00e9chographie a \u00e9t\u00e9 confirm\u00e9. Je pr\u00e9sente ensuite son dossier \u00e0 mes sup\u00e9rieurs hi\u00e9rarchiques. Ces derniers l\u2019ont imm\u00e9diatement pris en charge et dit \u00e0 dame<\/a>[U1]<\/a>  Florence qu\u2019elle ne peut plus rentrer chez elle. Elle est dans la foul\u00e9e hospitalis\u00e9e jusqu\u2019\u00e0 ce que sa grossesse puisse aller \u00e0 terme et c\u2019est apr\u00e8s son accouchement qu\u2019elle pourra \u00eatre lib\u00e9r\u00e9e.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Que ce que le placenta preavia ?<\/strong><\/p>\n\n\n\n

Le placenta pr\u00e6via est l\u2019implantation du placenta sur ou \u00e0 proximit\u00e9 de l\u2019orifice, sur l\u2019orifice interne du col. Il se manifeste g\u00e9n\u00e9ralement par des saignements vaginaux indolores. Apr\u00e8s 20 semaines de grossesse, la source du saignement dans le placenta pr\u00e6via est maternelle. Il se produit lorsque le placenta (apr\u00e8s la naissance) se fixe dans la partie inf\u00e9rieure de l\u2019ut\u00e9rus, recouvrant parfois compl\u00e8tement le col de l\u2019ut\u00e9rus. Cela peut provoquer des saignements abondants pendant la grossesse ou au moment de l\u2019accouchement. Le placenta normal est un organe d\u2019\u00e9change entre le f\u0153tus et la m\u00e8re, expuls\u00e9 apr\u00e8s l\u2019accouchement au cours de la d\u00e9livrance.<\/p>\n\n\n\n

Les signes cliniques du placenta pr\u00e6via<\/strong><\/p>\n\n\n\n

Les saignements vaginaux de couleur rouge vive et indolore (sans douleur) au cours de la seconde moiti\u00e9 de la grossesse. Le saignement peut devenir tr\u00e8s important et mettre en danger la vie de la m\u00e8re.<\/p>\n\n\n\n

Causes du placenta pr\u00e6via<\/strong><\/p>\n\n\n\n

Nous avons : Ant\u00e9c\u00e9dant de grossesse multiple (\u00eatre enceinte plusieurs fois), ant\u00e9c\u00e9dent d\u2019accouchement par c\u00e9sarienne (b\u00e9n\u00e9ficie des accouchements par c\u00e9sarienne), une anomalie structurelle de l\u2019ut\u00e9rus telle que les fibromes, la myomectomie (comme multiples proc\u00e9dures d\u2019ablation de fibrome ut\u00e9rine) ou de la dilatation et curetage, tabagisme, \u00eatre enceinte des jumeaux triple ou plus (naissances multiples), \u00e2ge avanc\u00e9.<\/p>\n\n\n\n

Cons\u00e9quences du placenta pr\u00e6via<\/strong><\/p>\n\n\n\n

 Nous pouvons avoir une anomalie de la pr\u00e9sentation f\u0153tale (le f\u0153tus peut \u00eatre transversale : ne peut avoir une bonne position qui peut ne pas faciliter l\u2019accouchement.). Le f\u0153tus peut ne pas grandir en temps pr\u00e9vu (retard de croissance intra ut\u00e9rine). Il y a aussi  une insertion velamentateuse du cordon ombilical , vasa pr\u00e6via (les vaisseaux sanguins qui relient le cordon ombilical au placenta peuvent emp\u00eacher le f\u0153tus de sorti par l\u2019ouverture du col de l\u2019ut\u00e9rus).si la femme a d\u00e9j\u00e0 pr\u00e9sent\u00e9 un placenta pr\u00e6via  avec un accouchement par la c\u00e9sarienne augmente le risque excessive  du placenta sur l\u2019ut\u00e9rus ( le placenta accr\u00e9ta) . Ce dernier fat partir des troubles du spectre du placenta accreta. Ces troubles sont diff\u00e9rents selon l\u2019intensit\u00e9 de la fixation du placenta sur l\u2019uterus. La m\u00e8re peut saigner jusqu\u2019\u00e0 ce que son pronostic vital puisse \u00eatre touch\u00e9. Le placenta pr\u00e6via emp\u00eache l\u2019accouchement par la voie basse.<\/p>\n\n\n\n

Conseils et traitements<\/strong><\/p>\n\n\n\n

Il faut r\u00e9aliser l\u2019\u00e9chographie chez toutes les femmes car elle permet de confirmer le diagnostic et d\u2019anticiper les \u00e9ventuelles complications li\u00e9es \u00e0 cette pathologie. La femme enceinte doit toujours partager ses probl\u00e8mes de sant\u00e9 avec son \u00e9poux, son m\u00e9decin ou sa sage-femme traitant. Lorsque la femme saigne, il faut aller imm\u00e9diatement dans un centre de sant\u00e9 et ne jamais remettre \u00e0 demain le saignement m\u00eame une trace chez la femme enceinte.<\/p>\n\n\n\n

Le traitement : La femme   doit rester aliter tout au long de sa grossesse dans un centre hospitalier sous haute surveillance. Pour le plan d\u2019accouchement, la c\u00e9sarienne est la mieux indiqu\u00e9e et elle se fait dans un centre de sant\u00e9 par un agent de sant\u00e9 asserment\u00e9 et qualifi\u00e9.<\/p>\n\n\n\n

 Eve Mireille AFFANOU<\/strong><\/p>\n\n\n\n

Sage-femme dipl\u00f4m\u00e9e d\u2019Etat\/ Echographiste<\/strong><\/p>\n\n\n\n

D\u00e9l\u00e9gu\u00e9e du personnel du CHU-MEL<\/strong><\/p>\n\n\n\n

.<\/p>\n\n\n\n

\n\n\n\n

<\/a><\/p>\n\n\n\n

 [U1]<\/a>Rer.<\/p>\n","protected":false},"excerpt":{"rendered":"

Le mercredi 10 janvier 2019, \u00e0 ma prise de garde, je re\u00e7ois une dame nomm\u00e9e Florence qui \u00e9tait inqui\u00e8te de son \u00e9tat de sant\u00e9. A cette soir\u00e9e-l\u00e0, cette dame d\u2019une…<\/p>\n","protected":false},"author":5,"featured_media":7308,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[19],"tags":[],"class_list":["post-7307","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante"],"aioseo_notices":[],"yoast_head":"\nSant\u00e9\u00a0: Sympt\u00f4mes, causes et cons\u00e9quences du placenta preavia chez la femme enceinte - Le Patriote<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lepatriotebenin.com\/index.php\/2024\/08\/19\/sante-symptomes-causes-et-consequences-du-placenta-preavia-chez-la-femme-enceinte\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sant\u00e9\u00a0: Sympt\u00f4mes, causes et cons\u00e9quences du placenta preavia chez la femme enceinte - Le Patriote\" \/>\n<meta property=\"og:description\" content=\"Le mercredi 10 janvier 2019, \u00e0 ma prise de garde, je re\u00e7ois une dame nomm\u00e9e Florence qui \u00e9tait inqui\u00e8te de son \u00e9tat de sant\u00e9. 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