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A 35-year-old member asked:

bleeding with previa for weeks off an on. when and how do obs decide to deliver?

2 doctor answers2 doctors weighed in
Dr. Dennis Higginbotham
Obstetrics and Gynecology 30 years experience
Varies: The timing of delivery will depend primarily on how much the patient is bleeding, with consideration given to how far along the pregnancy is. When very preterm the bleeding may be managed with transfusions - if the blood loss exceeds the ability to replace the blood, delivery is required. With less bleeding, observation may be continued until after 34 to 36 weeks.
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 26 years experience
Individualized mgmt.: Depending on the amount of blood loss, your maternal-fetal medicine specialist will decide when to pull the plug on the pregnancy and proceed with a cesarean section. We have to take the fetal interests in mind as well, as we try to avoid severe prematurity if possible. Typically, placenta previa is managed by prelabor cesarean section by 36-37 weeks at a large hospital.

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A 29-year-old member asked:

Should I be concerned about a few days of consecutive bleeding in third month of pregnancy?

1 doctor answer3 doctors weighed in
Dr. Jeff Livingston
Obstetrics and Gynecology 22 years experience
Yes. Need to see doc: Bleeding in early pregnancy is common affecting almost half of pregnancies but it needs to be evaluate for infection, placenta problems and possible miscarriage.
A 32-year-old member asked:

What causes bleeding in the third trimester?

2 doctor answers3 doctors weighed in
Dr. Deya Dafashy
Specializes in Obstetrics and Gynecology
Multiple: Placental abruption, placenta previa , local lesions and unidentified cause, are the commonest reason behind bleeding in the third trimester.
A 28-year-old member asked:

What is placenta previa?

4 doctor answers11 doctors weighed in
Dr. Jeff Livingston
Obstetrics and Gynecology 22 years experience
Placenta over cervix: Placenta previa is a complication of pregnancy where the placenta is covering the opening of the uterus called the cervix. It occurs in 1/200 pregnancies more commonly in patients with a previous c section. If diagnosed in early pregnancy it may resolve before delivery. If not a C-section will be needed. It can cause painless bleeding often requiring bedrest.
A 37-year-old member asked:

Does placenta previa require treatment?

2 doctor answers7 doctors weighed in
Dr. Rebecca Gray
Obstetrics and Gynecology 14 years experience
Maybe: If a placenta previa is still present at term, a cesarean delivery is indicated.
A 42-year-old member asked:

My ob/gyn office has a policy of leaving family members out of rooms. Why?

1 doctor answer5 doctors weighed in
Dr. Miguel Cano
Obstetrics and Gynecology 30 years experience
More expedient: Having less people in the room expedites the visit since more personal questions can be addressed, less interruptions occur, & an exam can be performed more conveniently. I also limit the number of people unless my patient is disabled & needs help or requires an interpreter. It's also allows us to screen for domestic violence/abuse, drug use/alcohol use, or unsafe sexual practices. Take care.

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Last updated Dec 30, 2016

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