Hallow Dear,
Placenta praevia is a condition where the placenta is implanted below the baby in the lower segment of the
uterus. The bleeding of placenta praevia is due to separation of placenta as a result of stretching up (retraction) of the lower uterine segment.
Hence the bleeding of placenta praevia is described as painless, recurrent and CAUSELESS bleeding. Physical activities do not affect the initiation of bleeding. Still we ask the mothers to take full
bed rest because if she is moving and suddenly starts getting bleeding, it may be so severe that she may collapse. Just imagine if she starts bleeding while she is climbing stairs of 3 stories alone; what will happen.
In fact we always tell these mothers to inform some responsible person whenever she is going anywhere from her bed. She should not latch the bathroom or toilet doors and someone should be there at the door. If she takes longer than expected time, the attendant should go in to find whether she is in any problem. Please remember this is painless bleeding.
Please keep some blood donors of her
blood group ready. Placenta praevia cases may land in any bleeding emergency anytime.
I do not want to threaten you; however, please take care that she is never left all alone so that any times emergency arises, help is available. Would it be possible to shift to ground floor?
I hope this gives you preliminary guidelines.
Dr. Nishikant Shrotri