Marginal placenta previa at 28 weeks - Doctor answers
Do repeated light bleedings in both 1st and 2nd trimesters due to subchorionic hematoma and placenta previa increase my risk of placenta abruption during 3rd trimester?
Is low lying placenta the same as placenta previa? At 28 weeks what are the risks/how dangerous is it? How will it affect rest of pregnancy and birth?
Not the same...: A low lying placenta is when it is close to the cervix, but not covering it like a previa does. The risk of either is bleeding, esp. Once in labor. But a low lying placenta is much more likely to move up the side of your uterus & out of the way prior to this. Your dr. Will follow this with serial ultrasounds until then. Probably smart to avoid intercourse & to report any bleeding until clear. ...Read more
It is hard to believe but it still happens, occasionally, patients come to labor and delivery without any prenatal care or any knowledge of pregnancy and deliver a term fetus.
I guess if the person does not know she is pregnant, but realizes this only at 28 weeks after an ultrasound, this can show placenta previa, though commonly patients with placenta previa have some variable amount of bleeding. ...Read more
I;m 28 weeks pregnant with a placenta previa. I bled once and was sent home. Can I make it to term?
Maybe: Placenta previa's tend to migrate up into the large (fundus) part of the uterus when it is marginally attached near the cervical opening and the pregnancy goes to term. A ultrasound can confirm its' location. If you have any vaginal bleeding whatsoever, go directly to the hospital if it is bright red and call your OB immediately. ...Read more
Marginal placenta pr: Usually yes.Get a more detailed answer ›
Yes: With any previa, the placements is near the cervix. Until your MD clears you, nothing in the vagina. The good news is, a marginal previa usually moves as the uterus gets bigger. ...Read more
Yes: Marginal/partial placenta previa is when the placenta comes to the edge of the cervix and maybe even covers a small part of the cervix. Not uncommon on early ultrasounds. As the pregnancy progresses, there is a good chance that this will resolve. If it is still present as you get farther into the 3rd trimester, then it becomes less likely that it will resolve, and a csection may be necessary. ...Read more
Can placenta previa move closer to rather than away from cervix over time? I had low-lying placenta @14w, marginal previa@20w, partial previa@28w?
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
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
Varies: Placenta previa is a condition in which the placenta implants directly over the cervix and blocks the birth canal. For this reason, women with placenta previa require a c-section. Since the placenta is exposed more, it is more prone to bleeding as well. Bleeding ranges from continuous or occasional spotting to torrential hemorrhage that could threaten the lives of both mother and baby. ...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
Yes: 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
Third trimester.: Most cases of placenta previa wither resolve or start bleeding by the third trimester (>28 weeks). Avoid all ssris, aspirin-like drugs (nsaids, motrin, aleve, advil) and only take regular tylenol (acetaminophen) during pregnancy. Avoid intercourse and heavy lifting/exercise until delivery or resolution of your placenta previa. Serial ultrasounds with an experienced maternal-fetal medicine specialist are warranted! ...Read moreSee 1 more doctor answer