Doctor insights on:
Nursing Diagnosis For Placenta Previa
I was diagnosis with placenta previa after some spotting. I'm 15 weeks and still spotting-light brown. Is this normal? If this will correct when?
Placenta previa: I'm not sure of your question - is placenta previa normal - NO. Is bleeding with previa normal - yes. Spotting just light brown sounds like either old blood or very slow bleed, which is better than brisk, bright red bleeding. Some previas "correct" themselves - that is the placenta moves away from the cervix area. This can happen at any time during the pregnancy.It has to be followed VERY CLOSELY! ...Read more
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
Yes it is possible: If it corrects itself completely you should be able to deliver vaginally. Check with your ob. ...Read more
Nothing: Nothing can be done for partial placenta previa at 20 weeks. Most of those have grown out by 28 weeks. ...Read more
Nothing to do: There is noting specific for you to do. Most likely the placenta will move up higher as the pregnancy progresses. Let your doctor know if you develop vaginal bleeding. Your doctor may restrict you from having vaginal intercourse if the placenta stays in the current location. ...Read more
Take colace (docusate sodium).: Straining for defecation, heavy lifting, sexual intercourse can all trigger catastrophic bleeding in cases of placenta previa. Take colace (docusate sodium) regularly (100 mg 2-3 times daily) to avoid constipation, drink plenty of water, avoid all exercise or intercourse. Stay close to your maternity hospital and go to the er via ambulance as soon as you experience any vaginal bleeding. ...Read more
Yes: Yes, very likelyGet a more detailed answer ›
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
Do many woman die from placenta previa? I have a complete previa and am terrified I will die during surgery!
<1% risk of death.: If you have never had a D&C nor c-section before, your risk of placenta previa/accreta is <1%, as is your risk of dying during such delivery in the us (i.e. With modern care at a tertiary hospital with expert surgeons and a large blood bank). If you have had a D&C or c-section, the prognosis is much poorer, with up to 7% risk of death from previa accreta even with the best of care. ...Read more
What does it mean if a docter says your baby is transverse breech? Also how serious is complete placenta previa?
Worrisome findings: For a baby to deliver from below they need access to oxygen from the placenta until they can get out & breathe. It should be positioned high in the uterus. A complete previa means it sits low & covers the cervix from the inside, blocking the way out so C-section is required. The kid is also crossways with bottom a bit lower. You will need to schedule a C/S or go in at the first sign of labor. ...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: Does! Not move but what to do about it depends on how close it is to the cervix. Report bleeding right away ...Read more
Hi, im 34wks pg and have complete placenta previa, is the cord more liely to get tangled around babys neck as baby is head down? What are the chances?
Cord wraps: The wrapping of the cord around the neck is most likely to occur around 12 wks when the fluid volume vs fetus size is greatest & the kid kid bounces around more. As they move closer to term, the baby takes up more space & less turning is possible. I wouldn't worry about neck wraps but clarify when your OB says to come in. Scheduled cs prior to labor or at its earliest stage should be expected. ...Read more
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
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 more
Ultrasound: Ultrasound is the main way to follow a previa. If your previa resolves with time, your labor should be the same as anyone else's. If it doesn't, tests for anemia, clotting factors, and blood availabilty are tests that are performed to be prepared for any emergency at delivery. Most patients are at bed rest in their 2nd trimester and pelvic rest until delivery. ...Read more
Attached over cervix: Placenta previa is when the placenta attaches low inside the uterus, near theopening of the birth canal/cervix. This can cause problems during the birth process because when the cervix starts dilating it could tear the blood vessels in the placenta, depriving the baby of blood and making mom lose too much blood. To be safe, many ob's recommend a c-section instead of vaginal birth. ...Read more
Placenta previa: Normally, the position of the placenta is near the top of the womb. In some cases however, the placenta stays in the lower portion (part) of the womb, and either partially or completely covers the cervix (neck of the womb). The described grading is when the placenta reaches the cervix, but doesn't cover it. ...Read more
Listen to your Doc: If it's early in your first trimester, usuallly not much different. In your late second or third trimester, listen to your doc. They'll prescribe rest, definitely to the hospital if you have any bleeding or cramping, and serial ultrasounds to see if the cervix has cleared. If it doesn't clear the cervix, a c-section is planned for delivery. Steroids may be given to help if you need early del. ...Read more
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
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
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
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