Marginal placenta previa at 28 weeks - Doctor answers

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Dr. Creighton Wright
146 Doctors shared insights

Placenta Blocks Cervix (Definition)

A previa is when a placenta entirely covers the opening of the cervix into the uterus (internal os). It is a reason for a cesarean section and if bleeding occurs and stops it may be a ...Read more


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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?

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

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Could a woman be pregnant and not know it at 28 weeks and have complete placenta previa?

Could a woman be pregnant and not know it at 28 weeks and have complete placenta previa?

Unusual: 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

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I;m 28 weeks pregnant with a placenta previa. I bled once and was sent home. Can I make it to term?

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

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Sex with marginal placenta previa? Is it really necessary to abstain?

Sex with marginal placenta previa? Is it really necessary to abstain?

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

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I have marginal placenta previa. Was told no sex...what about foreplay and oral sex?

I have marginal placenta previa. Was told no sex...what about foreplay and oral sex?

Sex: Please listen to your doctor. You should not have sex, or foreplay. Your friend will have to understand the issue.
Overtime your doctor will discuss things with you. Should end up OK! ...Read more

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Can you tell me about marginal/partial placenta previa and cn it resolve before your due date?

Can you tell me about marginal/partial placenta previa and cn it resolve before your due date?

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

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What is placenta previa?

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 more

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Why is there bleeding with placenta previa?

Why is there bleeding with placenta previa?

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 more

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I have placenta previa but can I still do anal?

I have placenta previa but can I still do anal?

No: When you have placenta previa you should avoid all intercourse as it can still impact the uterus. ...Read more

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How to treat placenta previa marginalis grade 1?

How to treat placenta previa marginalis grade 1?

No treatment: Have to see if it resolves, if it does not then u will need a csection cannot deliver vaginally if u have that please discuss with your ob. ...Read more

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Could placenta previa lead to placenta percreta?

PP can be percreta: A placenta prévia can invade the uterine and cervical tissues and be associated with a placenta increta and placenta percreta. ...Read more

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How long does bleeding with placenta previa last?

How long does bleeding with placenta previa last?

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 more

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Why is the bleeding painless from placenta previa?

Why is the bleeding painless from placenta previa?

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 more

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Does smoking increase the risk for placenta previa?

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 more

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If I have placenta previa, when am I most likely to bleed?

If I have placenta previa, when am I most likely to bleed?

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 more

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What congenital anomolies are associated with placenta previa?

What congenital anomolies are associated with placenta previa?

Nothing specific: In 3 deades of pediatrics and much of that dealing with birth defects, I know of no anomaly that is linked to placenta previa. The selection of an implantation site for the embryo and development of the placenta in a previa location appears to be random. ...Read more

Placenta (Definition)

The placenta is an organ that connects the developing fetus to the uterine wall to allow nutrient uptake, waste elimination, and gas exchange via ...Read more