Deciphering Low Lying Placenta: Unveiling Placenta Previa
When the placenta, the vital link between a mother and her unborn child, partially or completely obstructs the cervix, it’s known as a low lying placenta or placenta previa. Typically residing higher in the uterus, the placenta’s unexpected descent to the lower region triggers this condition. Factors like prior caesarean deliveries, advanced maternal age and uterine irregularities can contribute to its occurrence.
Reported incidence of placenta previa in India ranges from 0.3 to 1.8%
Tommy’s organisation study reveals, 90% of women who have a low-lying placenta at 20 weeks will not go on to have a low-lying placenta later in the pregnancy. The placenta is less likely to move upwards If you had a caesarean section before. At the end of their pregnancy only 1 in every 200 women has placenta previa.
At the 32 weeks scan 90% of placentas would have moved away from the cervix. In 10% of cases the placenta remains low.
Navigating Reasons and Impact of Low Lying Placenta
In the journey of pregnancy, a low lying placenta, or placenta previa, arises when the placenta establishes its connection near the cervix instead of higher up. Multiple influences can lead to this, including prior caesarean deliveries, multiple pregnancies, maternal age, or uterine anomalies. This phenomenon can have a significant impact, heightening the likelihood of complications during both pregnancy and delivery.
The placenta will have moved into the upper part of the womb for 9 in every 10 women. If the placenta is still low in your womb there will be heavy bleeding and put you and your baby at risk during your pregnancy or during your baby’s birth.
This condition might manifest as painless vaginal bleeding during the second or third trimester, elevating the risks of preterm birth or necessitating a caesarean delivery. Furthermore, it could impede fetal growth and jeopardize the health of both mother and baby. Recognizing it early and managing it properly are paramount for ensuring a safe and successful pregnancy outcome.
Guidelines to Safeguard Against and Care for Low Lying Placenta
Defending against low lying placenta, or placenta previa, entails certain steps to curtail the risks and ensure proper care:
Routine prenatal assessments: Early detection through ultrasound scans can unearth placental positioning and potential issues.
Pelvic rest: Abstaining from activities that could trigger bleeding or harm the placenta, including sexual intercourse and strenuous exercises.
Embrace rest: In severe scenarios, healthcare professionals might advocate bed rest or limited physical exertion.
Opting for C-section: If the placenta remains low as pregnancy progresses, planned caesarean delivery might be the best course of action.
Here are enhanced guidelines to safeguard against and care for a low-lying placenta:
Consultation with healthcare provider: Regularly consult with your healthcare provider, specifically an obstetrician or maternal-fetal medicine specialist. They will provide personalized guidance based on the severity of the condition.
Activity restrictions: Depending on the extent of placental coverage, your healthcare provider may advise you to limit physical activities and avoid strenuous exercises to reduce the risk of placental complications.
Emergency plan: Discuss and have a clear emergency plan in place, especially if you experience symptoms like vaginal bleeding. Knowing when to seek immediate medical attention is vital.
Medically supervised bed rest: In certain cases, your healthcare provider may recommend bed rest, either at home or in a medical facility, to minimize stress on the placenta.
Continued monitoring: Regular follow-up ultrasounds are essential to track placental changes and assess its position as your pregnancy progresses.
Blood transfusion preparations: In rare instances when there’s heavy bleeding due to a low-lying placenta, healthcare providers may plan for possible blood transfusions to manage the situation.
Emotional support: Pregnancy complications can be emotionally challenging. Seek emotional support from loved ones or consider joining support groups for women experiencing similar issues.
Awareness and education: Educate yourself about the condition to better understand its implications and the importance of following medical advice diligently.
Stay hydrated and well-nourished: A healthy diet and adequate hydration are essential for overall well-being and may indirectly contribute to placental health.
Remember, these guidelines are general in nature. The specific management and care plan for a low-lying placenta should always be determined by your healthcare provider based on your individual circumstances and the severity of the condition.
