Low lying placenta normal delivery

Categories: HEALTH

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What is a placenta that is low-lying?


The organ that promotes your baby's growth and development is the placenta. It is fastened to the womb's lining and linked to your unborn child through the umbilical cord. The placenta transports your blood's oxygen, nutrition, and immune system components to your unborn child. Additionally, it transports waste materials from your infant to your bloodstream so that your body can eliminate them.  


Wherever the fertilised egg embeds itself throughout the first few weeks of pregnancy, the placenta develops. This may run along the womb's top, sides, front, or back wall.   The placenta often adheres to the main portion of the womb throughout pregnancy. However, the placenta may connect lower in some women, covering all or part of the cervix (the opening to the womb).


The placenta usually climbs upward and out of the way when the uterus expands during pregnancy in cases where it is low-lying. But occasionally, as the pregnancy progresses, the placenta remains in the lower portion of the uterus. Instead of being higher up in the uterus, a low-lying placenta, also known as a placenta previa, is situated close to or covering the cervix. 


It is referred to as a low-lying placenta as the pregnancy progresses if the margin of the placenta is less than 20mm from the cervix. Placenta praevia is the term used when the placenta completely encases the cervix. In the middle of your third trimester, between weeks 18 and 21 of pregnancy, an ultrasound will be used to determine the position of your placenta. You have another scan later in your pregnancy (often around 32 weeks) to determine whether your placenta is low-lying. 


The placenta normally travels towards the upper section of the womb by this time because the lower area of the womb stretches more as the baby grows. Ninety percent of women who have a low-lying placenta at 20 weeks of pregnancy won't continue to have one later on.  The placenta is less likely to ascend if you've previously delivered a baby through caesarean surgery. At the end of pregnancy, just 1 in 200 women experience placenta praevia.  



Low lying placenta normal delivery:


The possibility of bleeding during labour and delivery is the greatest worry in situations of low-lying placentas. The method of delivery will rely on the particular circumstances and your healthcare provider's recommendations. 


Here are some general considerations:


1. Resting in bed and limiting activity: To reduce the risk of bleeding, your healthcare professional might occasionally advise bed rest or limited exercise. Avoiding intense activities, heavy lifting, and sexual activity may be advised.


2. Regular monitoring: The position of the placenta must be tracked carefully in order to spot any bleeding symptoms. This may entail routine ultrasound tests to evaluate the placental position and your overall health and the health of your unborn child.


3. Delivery planning: Your healthcare practitioner will go over the best delivery strategy with you if your placenta is still low-lying near the end of your pregnancy. The choice will be made based on the degree of placenta previa, your gestational age, and whether or not bleeding is present.


a. Vaginal delivery: A vaginal delivery may still be possible if there is just partial placental coverage of the cervix, no substantial bleeding, and no additional difficulties. Your healthcare professional will eventually decide on this based on your unique situation.


b. Cesarean delivery: A caesarean delivery (C-section) is typically advised if the placenta completely covers the cervix (total placenta previa) or if there is considerable bleeding. This is done in order to reduce the possibility of major bleeding during labour, which might be fatal for both you and your unborn child.


It's crucial to keep in mind that every case of low-lying placenta is different, and the delivery and management strategy will depend on specific characteristics. It's critical to speak with your healthcare practitioner to receive individualised advice based on your unique circumstances.

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