Pregnant. Done scanning, low lying posterior placenta. Is that worth worrying? - Online Doctor Chats
How can I help you?
I am 12 weeks carrying now.. i had undergone scanning today and have few concerns
can you help advise on that
Proceed with your query.
i wanted to know what is the impact of that ans precautions to be taken
The position of placenta at this point of time is not relevant now.
With time and with progression of pregnancy, the location of placenta can start to ascend up.
Yet, low lying placenta after 28 weeks of gestation is concerning.
Please avoid any strenuous physical exercise at this point of time.
Avoid bending, jumping or skipping
and avoid lifting heavy weights.
Consult your gynecologist regularly and get antenatal check ups as suggested by your doctor.
Repeat ultrasound scans during follow up will tell us about new changes in the location of placenta.
Further advise will be suggested as per the follow up scans.
Have you followed?
yes i followed everything and thanks for your advise.. i had miscarriage one year back and this is my second pregnancy.. so on the safer side my doctor suggesting to put cervical stiches
i am worried about that
If the os (which is located in the cervix) is dilated on clinical examination, I think you need to get the cervical encirclage (stitches)done to prevent early labor.
Acceptable cervical dilatation during early pregnancy is between 0 - 3 cms.
This can be confirmed on clinical examination.
In the mean time, my earlier advise regarding resting and avoiding strenuous physical exercise holds good.
allright....how about walking.. should i avoid that as well?
From your scan, it appears that the cervix and os is open.
Normal walking is fine,
but avoiding strenuous exercises such as climbing floor, running, jumping, skipping is essential.
Basically any activity that increases intraabdominal pressure is to be avoided.
If you are constipated, talk to your doctor
and take a prescription of laxative.
Avoid eating heavy and to the brink
Do not lie supine or on your belly.
Sleep on the side.
It would be good to plan for encirclage procedure at the earliest.
Have you followed?
Yes doctor... i felt happy with your advise and suggestions
I understand how precious your pregnancy is.
I wish you all the best.
Is there any other query?
Thank you doctor...one more last query...even after 28 weeks if i have low lying placenta.. what will be the effect?
Low lying placenta is concerning after 28 weeks of pregnancy.
It also reduces the chances of normal delivery.
So at the end of 28 weeks, if the placenta persists to be low lying, you need to be on rest as much as possible
avoiding any kind of physical exercise would be restricted then.
Any kind of bleeding needs to be reported to your doctor immediately.
I suggest you not to be concerned now.
Get the procedure as suggested.
Avoid physical exercise.
and follow up with your doctor.
You should be fine.
Do you have any other query?
NO as of now everything is clarified.. thank you so much for the detailed advise.
have a good day doctor
You are welcome.
Thanks for consulting me.
Bye for now.
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