Doctor insights on:
Pelvic Rest Placenta Previa
I have a marginal placenta previa at 20 weeks. My midwife recommends pelvic rest and no intercourse. Is masturbation okay?
See answer: This is a question you should definitely discuss with your doctor and/or midwife who are most familiar with you and your condition. Masturbation and orgasm are associated with uterine contraction which potentially may put you and your baby at risk of bleeding or other complications. Always best to heed the advice of your personal healthcare providers who are most familiar with you. ...Read more
I have partial placenta previa at 22 weeks (was diagnosed at 18 weeks). Does pelvic rest in that case include no orgasm?
18 weeks pregnant partiall placenta previa I was put on pelvic rest. Does that mean only no intercoarse or no fooling around and limited activity?
Yes: Yes to all-not worth the risk.Get a more detailed answer ›
Not really.: If the diagnosis of placenta previa is made before 20 weeks, some women experience resolution of the morbid placental implantation with time - bedrest is not correcting the problem. As the uterus and the fetus grow, they pull on the placenta and stretch the lower uterine segment to "move" the placenta out of the way and allow for vaginal delivery at term. ...Read more
No: Placenta previa includes partial or complete coverage of the cervix by the placenta. Bedrest is not necessary unless there is vaginal bleeding or persistent preterm labor. If vaginal bleeding is experienced, you will often be evaluated in the hospital with ultrasound and eventually released home to bedrest for awhile. ...Read more
Depends...: There is no hard and fast rule about having bed rest with placenta previa. It depends on your symptoms such as bleeding. Your ob/gyn will advise. Best wishes! ...Read more
If the placenta (i have partial placenta previa) has not migrated by 24 weeks do you get to be put on bed rest? What are the precautions needed to take
Varies: This will vary from doctor to doctor. I do not put patients on bedrest unless they have had bleeding. All patients should avoid intercourse. This is a great question to ask your doctor at your next appointment. ...Read more
Can placenta previa (abrupto @34wk but wasn't seen til 36w) cause postpartum issues? Excessive irregular bleeding, pelvic sensitivity? I am 7month pp
With anterior complete placenta previa and 2 bleeds (1 warning, 1 massive) what are the chances of the placenta shifting with the uterus after 24wks? And possible cause of constant dull aches and jolts in pelvis area. Also have short CX
MFM evaluation: Consider asking for a referral to a maternal fetal medicine specialist. Your situation sounds quite high risk especially when you use phrases like massive bleeding. Your doctor may want to consider keeping you in the hospital now that the baby has reached viability. The chances of previa resolution will vary depending on the exact location and will vary from person to person ...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
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
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
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 more
Yes, possible!: 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
No! A placenta previa can be dangerous and result in heavy bleeding. Anything that could disturb the previa should be avoided, like sex, fingers, really anything in the vagina. A previa can resolve over many weeks, so make sure your doctor is checking to see if it is still there. Until then, I would wait.
Dr S ...Read more
Placenta previa: Usually bleeding associated with placenta previa is painless. Rarely, if there is separation of placenta and blood is collected retroplacentally, it can be painful. ...Read more
Placenta previa: The placenta is the organ that supports the fetus during pregnancy providing nourishment and oxygen, the placenta grows during pregnancy and can cover the opening of the uterus, called the cervix. When the placenta covers the cervix, or comes first, its call a placenta previa. A safe vaginal delivery of the fetus isn't possible with a placenta previa. Delivery is usually by cesarean section. ...Read more
After fetal maturity: The ideal time is when the baby is lung mature and the MD is confident of your gestation age. ...Read more
Difference between level 2 and 3 nicu? Should I deliver my baby at a level 3 if I have complete placenta previa?
Probably not: Many level 2 nicu function as a level 3 w/o the designation. Where you deliver depends on how far along you are when you deliver. Also very important is the experience of the hospital where you deliver in handling a complete previa. Talk to you doctor. ...Read more
Diagnosed with placenta previa Thursday and still spotting brown. Should I be concerned or only if it turns bright red? I'm 16 weeks.
Be careful: Brown discharge is not uncommon, but any bright red bleeding needs to be reported immediately ...Read more
As my ultrasound result, it stated that im having a placenta previa totalis and myomauteri. What will I do? Is my unborn child be safe?
I was diagnosed w/placenta previa I have on and off light bleeding which also has a foul smell I was told I have no Infections. Is this normal?
Had inc. Placenta previa at 16 weeks, moved up around 21 wks (3cm+) now at almost 32 wks u/s showing 1.5cm fr cervix. Why did it move down again?
Doesn’t move: The placenta does not actually move. It is attached to the uterus. As the uterus grows the placenta can be pulled safely away from the cervix. In some cases it does not. It just depends on where the placenta is attached. In general it needs to be more than 2 cm from the cervix to permit vaginal delivery ...Read more