How Does the Placenta Break Away From a Baby
Kriti Dutt, 27, panicked when she plant out about a depression lying placenta at 12 weeks . Unsure of what information technology meant, she searched online for answers to her questions, consulted her physician and eventually decided to get a 2nd stance.
When she met Dr. Anita Sabherwal Anand , Consultant Obstetrician-Gynecologist at Sitaram Bhartia Hospital in Delhi, her concerns were immediately put to residuum.
The doctor explained, "The placenta is an organ that is located against the wall of the uterus during pregnancy. The fetus derives its nutrition via the umbilical string that stems from the placenta. The waste thing of the fetus is also transferred past the cord through the placenta and expelled."
What is a Low-Lying Placenta in the First and 2d Trimester (12-28 weeks)?
"In the early weeks of pregnancy, from 12 – xx weeks, information technology is common to see the placenta in the lower segment of the uterus, near the cervix," says Dr. Anita.
"This is termed low-lying placenta and is a natural miracle. "
What causes low-lying placenta?
The verbal reasons for depression-lying placenta are unclear.
Is bed residuum necessary for low-lying placenta?
Bed residual is not routinely advised for a depression placenta unless at that place is heavy bleeding.
Upon hearing that, Kriti wanted to know the implications of a depression placenta.
Is it unsafe to accept a low lying placenta?
A depression lying placenta in the early on weeks of pregnancy, up till 20 weeks, is typically not dangerous.
Can a depression placenta move up?
As the uterus grows and expands during pregnancy, the position of the placenta seems to move away from the cervix or move upwards.
"There are no methods or remedies to move the placenta up naturally."
The blitheness to a higher place shows how the position of the placenta may shift.
Kriti seemed satisfied with all the information except for one lingering doubt. She asked, "What if I have a low-lying placenta at xx weeks and subsequently that?"
"If you have a low-lying placenta in your 18 to xx week browse you will be advised another ultrasound at around 32 weeks to assess the position of the placenta in the third trimester, " assures Dr Anita.
Co-ordinate to the Purple College of Obstetricians and Gynecologists (RCOG) , the placenta moves upward in 90% of women who have a xx week scan showing a low lying placenta.
What is a Low-Lying Placenta in the Third Trimester (after 28 weeks)?
If the placenta is seen to exist in the lower part of the uterus in the third trimester, then the state of affairs is known every bit 'Placenta Previa'.
Kriti was curious to know more about any signs of Placenta Previa that she should have noticed earlier on.
Are there whatever Symptoms of Placenta Previa?
"Nigh mothers have no symptoms with Placenta Previa. A few may take painless bleeding. This may crave you to exist on bed balance, " said Dr Anita.
"The only way to diagnose or observe a low lying placenta is through an ultrasound ."
Chances of developing Placenta Previa
Your chances of having placenta previa may increase if y'all've had a previous cesarean. It is important, therefore, that a c-section commitment is conducted only when medically indicated.
Other risk factors include:
- Beingness older than 35 years
- An abnormal shape of the uterus
- Conveying more than 1 infant
Read: C-Section Delivery: 9 Indications Where It May Exist Avoidable
Complications Due to Depression Lying Placenta in Third Trimester (Placenta Previa)
"Any major bleeding caused by the low lying placenta in the third trimester could pose a risk for both mother and babe. But mostly the bleeding is intermittent and modest to moderate. "
"You must contact your gynecologist correct away in case y'all experience any bleeding, contractions or hurting," cautioned Dr Anita.
Types of Placenta Previa
Complete or Full Placenta Previa: If the placenta is roofing the cervix, the condition is chosen full placenta previa. In this example, a c-section will be required as the baby'due south passage through the cervix is blocked by the placenta.
Marginal Placenta Previa : In this status, the placenta grows at the bottom of the uterus next to the neck.
"If the placenta does not reach the cervix, you lot can safely effort for a normal commitment ."
Partial Placenta Previa: In this situation, the placental edge may partially cover the cervix and a vaginal delivery may not exist brash.
Kriti seemed relieved when she heard that a normal nativity may exist possible with a low placenta in the third trimester, depending on the placenta position during pregnancy.
She had imagined giving nascency normally, and wanted to do everything possible to realise her dream of having a natural birth supported by her husband.
What is the recommended treatment for Low-lying Placenta ?
In most cases, the placenta moves upwards on its own as the uterus increases in size, and there is no specific handling for a low placenta.
"A low-lying placenta may not e'er result in 'Placenta Previa', and and so you shouldn't get dislocated betwixt the ii situations, " clarified Dr. Anita.
Past now Kriti understood that she didn't have a reason to worry but she was keen to know dos and don'ts with low-lying placenta, to ensure she had the best chance at a vaginal delivery.
What are the precautions for Low-Lying Placenta?
Precautions for low lying placenta at xiv – twenty weeks are required merely in a few cases. Women with placenta previa should
Avoid sexual intercourse
If you lot take had haemorrhage with a low placenta, you may be advised to refrain from intercourse as this may worsen the bleeding.
Stay on bed rest
Bed rest may be advised if you experience haemorrhage. The duration and permitted movements are best discussed with your doctor.
Consume Iron rich Foods
Eat foods rich in iron to reduce the take chances of anaemia during pregnancy . Bleeding may cause you to lose the required number of blood cells and thereby lower your Haemoglobin levels.
Don't skip consultations
A repeat scan will be required around 32 weeks to assess the position of the placenta. Most of the fourth dimension the placenta volition have moved away from the cervix. In case the placenta is still covering the cervix or you observe bleeding, you volition exist constantly monitored to evaluate your well-being and your baby's health.
"This is why information technology is essential to proceed rails of your consultations and speak to your doctor every bit advised,"
Encouraged past her detailed consultation, Kriti decided to continue with the physician whose thoughts and approach toward a normal birth matched her ain. She eventually went on to normally deliver a healthy infant girl.
The majority of women who accept a low-lying placenta in the 2d trimester go on to accept a normal delivery without any complications at Sitaram Bhartia.
Hear from Shilpa Newati, one such mother, who came to u.s.a. at 32 weeks with a low-lying placenta and a breech babe for a second opinion on her condition.
"Despite a low lying placenta and a breech baby, I was able to have a normal delivery at Sitaram Bhartia, fifty-fifty though gynecologists at another hospital told me I had a 99% risk of a caesarean."
FAQs about Low-Lying Placenta & Placenta Previa
Q. What is the all-time low-lying placenta sleeping position?
There is no specific sleeping position for low-lying placenta . Y'all should slumber in the position that is comfortable for you. In the later half of the pregnancy, it is best to sleep on the side. You lot can employ pillows and cushions for support.
Q. Are at that place any sitting positions for low lying placenta ?
No, there are no restrictions on the manner you can sit.
Q. What is meant by a posterior low lying placenta ?
This means that the placenta is attached to the dorsum wall of the uterus but is in the lower part of the uterus. It is possible for this kind of placenta to besides 'shift away' from the cervix as the pregnancy progresses.
Read: Posterior Placenta: 5 Myths (and facts) You Need to Know
Q. Does a posterior depression lying placenta point a boy or girl ?
There is no credible research that proves that a posterior placenta indicates a particular gender.
Q. Are there any precautions to have with an anterior placenta ?
An anterior placenta only means that the placenta is attached to the front wall of the uterus. This is a normal situation and no precautions are needed.
Q. What does ' placenta reaching internal os ' mean?
This indicates that the placenta is really low-lying and it'due south lowermost office is at the level of the cervix. 'Internal os' refers to the opening of the neck at the upper stop. In such cases if the placenta continues to be in this position later 34 to 36 weeks a cesarean section is planned.
Q. What does ' placenta 3 cm away from internal os' indicate?
This indicates that the placenta is depression-lying but it is abroad from the opening of the cervix. Normal delivery is mostly possible in cases with placenta more than 2cm from the bone, particularly if it is anterior. A cesarean is recommended if there is heavy recurrent haemorrhage in such positions or if the lower part of placenta is less than 2cm from the os.
If you are unsure about your situation, it is better to consult a gynecologist. Schedule a free consultation with a senior gynecologist at our hospital in South Delhi.
Please phone call on +91 9871001458 to schedule a gratuitous consultation.
This weblog has been written with editorial inputs from Dr. Anita Sabherwal Anand. She is an Obstetrician-Gynecologist with over 22 years experience, who is known among couples for her detailed consultations.
This article was showtime written in 2017 and has been updated in October 2020.
NEW: Lookout a Live Q&A session with Dr. Swati Sinha, Obstetrician-Gynecologist, at Sitaram Bhartia Institute of Scientific discipline and Inquiry, on 'Pregnancy & the Pandemic' as she discusses vaccination and tips for the Third Wave.
Source: https://www.sitarambhartia.org/blog/maternity/low-lying-placenta-need-know/
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