Doctor insights on:
Placenta Previa In Second Trimester
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?
Wife is 19wks in preg. 1st kid. 17wks diagnosed w full placenta previa. What r d chances of placenta moving up? And can she fly a 2hr flight 27wks in?
Discuss with OB.: Flying is ill advised during pregnancy with risk for serious bleeding as is the risk with placenta previa. It's a big risk, should anything happen, you won't be able to land in time to save you or the baby in the event of bleeding. Repeat US will help determine if the placenta changes position, but an abundance of caution is best in this case. ...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 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 it is possible: If it corrects itself completely you should be able to deliver vaginally. Check with your ob. ...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 moreSee 1 more doctor answer
Be cautious: 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. Good luck! Dr S ...Read more
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 moreSee 2 more doctor answers
Bleeding and Cntrxns: 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
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