Doctor insights on:
Is Vasa Previa A Symptom Of Placenta Previa
Blocks birth canal.: Placenta previa occurs when it implants over the maternal cervix of the uterus, thereby blocking the birth canal and precluding safe vaginal delivery. This is a potentially life-threatening condition that is best managed by experienced obstetrician/maternal-fetal medicine specialist at a large tertiary hospital with blood bank and ICU availability. ...Read more
May be both: A previa is usually painless bleeding when the cervix is changing (dilating) causing bleeding from torn vessels being sheared off. It is a type of abruption although any bleeding from a detaching placenta is strictly called an abruption. These are usually away from the cervix and can be associated with cramping, pain, or heavy bleeding. If you have a previa, let your doc know if you bleed. ...Read moreSee 2 more doctor answers
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. ...Read moreSee 2 more doctor answers
No contractions.: Because the bleeding does not involve the contractile part of the uterus, only the placenta over the cervix. The placenta is devoid of innervation, therefore the mother does not experience pain in bleeding previa unless preterm labor is also present. ...Read moreSee 2 more doctor answers
no: Placenta previa is an obstetric complication in which the placenta is inserted partially or wholly in lower uterine segment.It can sometimes occur in the later part of the first trimester, but usually during the second or third. It is a leading cause of antepartum haemorrhage (vaginal bleeding). It affects approximately 0.4-0.5% of all labours. ...Read moreSee 1 more doctor answer
Distance form cervix: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read moreSee 1 more doctor answer
Placenta detaches: Placental abruption is when the placenta detaches from the uterine wall before the baby is born. This happens in only 1% of pregnancies. It can be dangerous as the baby may not get the same amount of oxygen and nutrients if the abruption is large. Patients may or may not have vaginal bleeding. Abruption has been linked to maternal high blood pressure, Cocaine use, abdominal trauma and smoking. ...Read moreSee 1 more doctor answer
Leaky vessels: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read moreSee 2 more doctor answers
Yes : There is no surgical or mefical treatment yo correct placenta previa however sometimes the placenta can change or move so that it no longer overlies the opening of the cervix if you have true placenta previa it needs to be closely monitored especially the closer you get to going in labor as at that time your cervix will dilate and can cause severe bleeding. ...Read more
Yes: In almost all cases, some cases though with partial type or just the tip of placenta reaching the cervix and go into labor proceed without that horrendous bleeding, very rare, in these days with all the advances in diagnostics, medications, anesthesia and surgery, no one would take chances, for the safety of the mother and baby , ...Read more
Marginal previa: A marginal previa or a low lying placenta is usually diagnosed by ultrasound. Early in a pregnancy ultrasound can over diagnose the condition. Risk will depend upon whether you have had any bleeding with the diagnosis. A 28 week ultrasound is usually recommended to better visualize where the placenta actually is. ...Read moreSee 1 more doctor answer
What are the complications of placenta previa? What risks go along with placenta previa? How serious is the condition?
Bleeding risk.: Placenta previa means that the birth canal is blocked by the afterbirth. This can cause severe vaginal bleeding that can threaten the maternal and fetal life. It carries a risk of placenta accreta and hysterectomy with it and must be managed in a large hospital with a blood bank and perinatal anesthesiology round the clock. It is a serious pregnancy complication! seek mfm care. ...Read moreSee 1 more doctor answer
What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?
Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more
Will vaginal spotting/bleeding stop placenta previa resolves? Does recurrent bleeding in 2nd tr indicate that placenta previa is unlikely to resolve?
2 questions here: Answer to number one, not always. Answer number 2, not always. You will need periodic ultrasound monitoring to follow this issue and, most importantly, if you have significant bleeding, pain, or preterm labor get to hospital right away. Don't plan any trips. You need to be very careful or this may threaten the lives of both you and your baby. Follow your OBs advice and make sure you follow up. ...Read moreSee 2 more doctor answers
Im 25 weeks pregnant. Diagnosed with placenta previa totalis. Baby is in breech position. Is there a chance of my placenta migrating and baby rotating?
Yes there is!: As the uterus grows your placenta may migrate up, and the baby may turn to the vertex (head down) position. There is no guarantee. You need to be watched closely. If previa still exists and/or baby is still breech at term, you'll need a c section. Avoid intercourse or anything else in the vagina while you have a previa. This could cause severe bleeding. Be seen for any bleeding. Good luck. ...Read more
Small section, ltd.: Abruption is a bleed from the placenta; a disruption of either the mother or baby's blood supply. Many causes: trauma, high blood pressure, drugs (cocaine), preterm labor, polyhydramnios. Can be very large or very small, so even US can miss a diagnosis. Symptoms: usually preterm contractions, sometimes vaginal bleed. Fetal monitoring is necessary. Wait, watch; abruption can self-heal sometimes. ...Read moreSee 1 more doctor answer
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