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Placenta praevia,low lying placenta - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2009
Answered : 351 Questions
User :   I m 17 weeks pregnant and in ITS DETECTED LOW LYING PLACENTa
Doctor :   Hi
User :   hi
Doctor :   How can I help you ?
User :   I had a ultrasound last week
User :   I had a ultrasound last week
User :   I am 17 weeks pregnant now
Doctor :   Ok.
User :   it was detected low lying placenta
Doctor :   Ok, This is called Placenta praevia.
User :   but I want to travel by air in Feb - 3 hours flight
User :   yes I got to know from net
User :   is it safe to travel
User :   ?
Doctor :   Can you let me know which grade is it in ?
Doctor :   There are four grades.
User :   anterior
Doctor :   Ok.
Doctor :   That is much better
User :   0,1.63cm from internal os
User :   so what do you suggest
Doctor :   As of now I feel it is safe for you in February as you would be 20 weeks at the max.
User :   i had little tenderness and pain in lower part of stomach
Doctor :   But before that do you have any other symptoms?
Doctor :   Ok.
Doctor :   Any bleeding ?
User :   I had a miscarraige in Jan 2010
User :   no bleeding
Doctor :   Ok
Doctor :   What is your age ?
User :   26
Doctor :   Usually the correct assessment for Placenta previa is done only at 20 weeks and has to be Reassessed with an Ultrasound help.
User :   okay
User :   so you mean I should again have a ultrasound done at 20 weeks?
Doctor :   I am sure your gynecologist might have asked you to come back for reconsultation.
User :   yes
Doctor :   They ask you to come back as the placenta goes faster at this stage than the Uterus and repositions itself and the risks ahev to be reassessed.
User :   but if at 20 weeks also the placenta is still low , then is there any risk for travelling?
User :   because I have to make bookings.
User :   Is having sex with my partner causes more complications during this scenario?
Doctor :   As of now as it is not covering the internal os it is called Marginal Placenta previa and you are not at a higher risk for Cesarian or bigger pregnancy complication and it might be safer to fly now rather than later where the position may change to Partial or Complete Placenta Previa.
Doctor :   You have to completely abstain from sex during this phase.
User :   you mean to say at 20 weeks it would be fine?
Doctor :   Please take note very carefully of the points and let me put them in a nut shell : Doctor :   1. If you fly at 20 weeks, get an Ultrasound done, If it is Still Marginal and there are no further complications it might be safe.
Doctor :   2. It might be better for you to travel now as it is still marginal.
Doctor :   3. If it becomes Partial or Complete you will be advised for complete bed rest. And advised not to travel.
User :   okay
Doctor :   Forget about sexual intercourse,
I dont want to tell you, but I think this includes abstaining from orgasms as well. During orgasm your uterus contracts and spasms, which may disturb your cervix. I hope you don't have long to go!
User :   okay.
Doctor :   Can I ask you a few more questions pertaining to this ?
User :   Can you please let me know if my baby growth is fine or not at 16 weeks...
User :   sure
Doctor :   Is this your first pregnancy ?
User :   yes but I had missed abortion in jan 2010
Doctor :   Ok
Doctor :   What was the gestational age of the abort ?
User :   10 weeks
User :   no growth and no cardiac activity
Doctor :   Ok. Was D & C performed , Dilatation & Curettage ?
User :   yes
Doctor :   Ok.
Doctor :   Please dont feel otherwise , as I have to ask some other risk factors.
User :   last ultrasound says - FHR - 154 bpm, BPD - 3.19 cm, HC - 13.3 cm, AC - 10.82cm, FL-2.21cm and cervix length - 3.84cm
User :   please tell me if these says for a healthy growth of baby at 16 weeks 5 days
Doctor :   Do you smoke ?
User :   no
Doctor :   That is good.
User :   please tell me about growth
User :   from above measurements
Doctor :   All these are fine and in the normal range , How about the CR length ?
User :   how is baby growing... i m tensed as had bad last exp
User :   CR length is cervix length?
Doctor :   The Crown -Rump length
User :   its not written in this ultrasound report
Doctor :   The length between Crown on the head and the rump of the Body
User :   fetal weight is 165gms
User :   nothing else is written
Doctor :   oK
Doctor :   That is fine , all the parameters are in the normal parameters, nothing to worry.
User :   Thanks a lot...
Doctor :   So dont be panicky , This time it will be a suceess.
User :   for placenta, I will get another ultrasound done at 20 weeks and then will decide to fly or not
Doctor :   And if the Gynecologist advises for a CS-Cesarian Section , please go ahead with it, as it may be safer.
Doctor :   Absolutely right.
User :   but I am afraid of it
Doctor :   Dont worry, Be confident of yourself.Out of Every 200 pregnancies we have 1 Placeta previa, So not to worry, outcome would be absolutely fine.
User :   okay, Thanks doctor. where is your clinic?
Doctor :   Have lots of fruits,veggies and juices.
User :   yes thats going on
Doctor :   Thank you for consulting me.
User :   Thanks for good advise
Doctor :   Take care, Keep me posted about the 20 week outcome. Hope it comes out normal or Marginal. All the best.
User :   thanks
Doctor :   Take care, bye for now.
User :   bye
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