Ultrasound of Baby at 11 Weeks With Low Lying Placenta
Kriti Dutt, 27, panicked when she found out about a low lying placenta at 12 weeks . Unsure of what it meant, she searched online for answers to her questions, consulted her medico and eventually decided to get a second opinion.
When she met Dr. Anita Sabherwal Anand , Consultant Obstetrician-Gynecologist at Sitaram Bhartia Hospital in Delhi, her concerns were immediately put to rest.
The md explained, "The placenta is an organ that is located confronting the wall of the uterus during pregnancy. The fetus derives its nutrition via the umbilical cord that stems from the placenta. The waste material matter of the fetus is also transferred by the cord through the placenta and expelled."
What is a Depression-Lying Placenta in the Starting time and 2d Trimester (12-28 weeks)?
"In the early on weeks of pregnancy, from 12 – xx weeks, it is common to see the placenta in the lower segment of the uterus, near the neck," says Dr. Anita.
"This is termed low-lying placenta and is a natural phenomenon. "
What causes low-lying placenta?
The exact reasons for depression-lying placenta are unclear.
Is bed rest necessary for low-lying placenta?
Bed balance is not routinely advised for a depression placenta unless there is heavy haemorrhage.
Upon hearing that, Kriti wanted to know the implications of a depression placenta.
Is information technology dangerous to have a depression lying placenta?
A low lying placenta in the early weeks of pregnancy, up till 20 weeks, is typically not dangerous.
Can a low placenta move up?
As the uterus grows and expands during pregnancy, the position of the placenta seems to move away from the cervix or move up.
"There are no methods or remedies to motility the placenta up naturally."
The animation higher up shows how the position of the placenta may shift.
Kriti seemed satisfied with all the information except for one lingering doubt. She asked, "What if I have a depression-lying placenta at 20 weeks and subsequently that?"
"If yous have a low-lying placenta in your 18 to twenty week browse you will be brash another ultrasound at around 32 weeks to assess the position of the placenta in the third trimester, " assures Dr Anita.
According to the Regal Higher of Obstetricians and Gynecologists (RCOG) , the placenta moves up in 90% of women who have a 20 week scan showing a depression lying placenta.
What is a Low-Lying Placenta in the Tertiary Trimester (after 28 weeks)?
If the placenta is seen to be in the lower part of the uterus in the third trimester, then the situation is known equally 'Placenta Previa'.
Kriti was curious to know more well-nigh whatever signs of Placenta Previa that she should accept noticed earlier on.
Are there any Symptoms of Placenta Previa?
"Nigh mothers accept no symptoms with Placenta Previa. A few may have painless bleeding. This may require you lot to be on bed rest, " said Dr Anita.
"The only way to diagnose or discover a low lying placenta is through an ultrasound ."
Chances of developing Placenta Previa
Your chances of having placenta previa may increase if you've had a previous cesarean. It is of import, therefore, that a c-section commitment is conducted only when medically indicated.
Other risk factors include:
- Being older than 35 years
- An abnormal shape of the uterus
- Carrying more than one baby
Read: C-Section Delivery: 9 Indications Where It May Exist Avoidable
Complications Due to Depression Lying Placenta in Third Trimester (Placenta Previa)
"Any major bleeding caused past the low lying placenta in the third trimester could pose a risk for both mother and baby. But mostly the bleeding is intermittent and pocket-sized to moderate. "
"You must contact your gynecologist correct abroad in example yous experience any bleeding, contractions or hurting," cautioned Dr Anita.
Types of Placenta Previa
Complete or Total Placenta Previa: If the placenta is roofing the cervix, the condition is called total placenta previa. In this case, a c-department will be required every bit the babe'southward passage through the neck is blocked by the placenta.
Marginal Placenta Previa : In this status, the placenta grows at the bottom of the uterus adjacent to the cervix.
"If the placenta does not reach the neck, you can safely try for a normal delivery ."
Fractional Placenta Previa: In this situation, the placental edge may partially comprehend the cervix and a vaginal delivery may not be advised.
Kriti seemed relieved when she heard that a normal birth may be possible with a low placenta in the third trimester, depending on the placenta position during pregnancy.
She had imagined giving birth normally, and wanted to do everything possible to realise her dream of having a natural nascency supported by her husband.
What is the recommended treatment for Low-lying Placenta ?
In most cases, the placenta moves upwards on its own as the uterus increases in size, and there is no specific treatment for a depression placenta.
"A low-lying placenta may not always result in 'Placenta Previa', and so y'all shouldn't get confused between the 2 situations, " clarified Dr. Anita.
Past now Kriti understood that she didn't take a reason to worry simply she was keen to know dos and don'ts with depression-lying placenta, to ensure she had the all-time chance at a vaginal delivery.
What are the precautions for Low-Lying Placenta?
Precautions for low lying placenta at xiv – xx weeks are required just in a few cases. Women with placenta previa should
Avoid sexual intercourse
If you have had bleeding with a low placenta, y'all may be advised to refrain from intercourse every bit this may worsen the bleeding.
Stay on bed rest
Bed rest may be advised if you experience bleeding. The duration and permitted movements are best discussed with your doc.
Consume Iron rich Foods
Eat foods rich in iron to reduce the risk of anaemia during pregnancy . Bleeding may cause you to lose the required number of claret cells and thereby lower your Haemoglobin levels.
Don't skip consultations
A repeat scan will be required around 32 weeks to assess the position of the placenta. Virtually of the time the placenta will have moved away from the cervix. In case the placenta is still covering the cervix or yous find bleeding, yous volition be constantly monitored to evaluate your well-being and your baby'south health.
"This is why it is essential to keep track of your consultations and speak to your doctor equally advised,"
Encouraged by her detailed consultation, Kriti decided to continue with the doctor whose thoughts and arroyo toward a normal birth matched her ain. She eventually went on to commonly deliver a healthy baby daughter.
The majority of women who have a low-lying placenta in the 2d trimester get on to have a normal commitment without whatever complications at Sitaram Bhartia.
Hear from Shilpa Newati, one such female parent, who came to us at 32 weeks with a depression-lying placenta and a breech baby for a second opinion on her status.
"Despite a low lying placenta and a breech baby, I was able to take a normal delivery at Sitaram Bhartia, fifty-fifty though gynecologists at another hospital told me I had a 99% chance of a caesarean."
FAQs nearly Low-Lying Placenta & Placenta Previa
Q. What is the best low-lying placenta sleeping position?
There is no specific sleeping position for low-lying placenta . You lot should slumber in the position that is comfortable for you lot. In the subsequently half of the pregnancy, it is best to slumber on the side. Y'all tin use pillows and cushions for back up.
Q. Are there whatever sitting positions for depression lying placenta ?
No, in that location are no restrictions on the manner you can sit.
Q. What is meant by a posterior low lying placenta ?
This means that the placenta is attached to the back wall of the uterus but is in the lower part of the uterus. Information technology is possible for this kind of placenta to also 'shift away' from the neck as the pregnancy progresses.
Read: Posterior Placenta: 5 Myths (and facts) Y'all Need to Know
Q. Does a posterior depression lying placenta indicate a male child or girl ?
There is no credible research that proves that a posterior placenta indicates a particular gender.
Q. Are at that place any precautions to accept with an anterior placenta ?
An inductive placenta simply ways that the placenta is attached to the front wall of the uterus. This is a normal situation and no precautions are needed.
Q. What does ' placenta reaching internal os ' mean?
This indicates that the placenta is really low-lying and information technology'southward lowermost part is at the level of the neck. 'Internal os' refers to the opening of the neck at the upper end. In such cases if the placenta continues to exist in this position after 34 to 36 weeks a cesarean section is planned.
Q. What does ' placenta 3 cm away from internal os' indicate?
This indicates that the placenta is low-lying but it is away from the opening of the cervix. Normal delivery is by and large possible in cases with placenta more than 2cm from the os, peculiarly if it is anterior. A cesarean is recommended if there is heavy recurrent bleeding in such positions or if the lower part of placenta is less than 2cm from the bone.
If you are unsure about your situation, it is better to consult a gynecologist. Schedule a free consultation with a senior gynecologist at our hospital in South Delhi.
Please call on +91 9871001458 to schedule a free consultation.
This blog has been written with editorial inputs from Dr. Anita Sabherwal Anand. She is an Obstetrician-Gynecologist with over 22 years experience, who is known among couples for her detailed consultations.
This article was first written in 2017 and has been updated in October 2020.
NEW: Sentry a LIVE Q&A session with Dr. Swati Sinha, Obstetrician-Gynecologist, at Sitaram Bhartia Constitute of Scientific discipline and Research, on 'Pregnancy & the Pandemic' as she discusses vaccination and tips for the Third Wave.
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Source: https://www.sitarambhartia.org/blog/maternity/low-lying-placenta-need-know/
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