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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had A Miscarriage And D And C. Pregnant. Scan Showing Pacenta Previa. What Is The Chance Of A Normal Delivery?

Hi, I am 28 years old and had a miscarriage in May 2012 for which I had to have a D and C. I became pregnant again in August 2012 and I am currently 22 weeks pregnant. At my 20 week scan, I was diagnosed with complete placenta previa . What are the chances that the placenta will completely move away from the cervix enabling a normal vaginal delivery . I haven;t had any bleeding so far. Thanks.
Thu, 14 Feb 2013
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OBGYN,  's  Response
Hello
Thank you for your query.
More than 90 % cases of placenta previa move upwards by the third trimester.
However, complete placenta previa has lesser chance of migrating upwards as it is lying completely in the lower segment, and completely covering the cervix.
With a previous D and C, chances of adherent placenta also increase.
However, you can take precautions such as rest / avoidance of sexual activity / strain / jerky travelling etc.
Continue to be hopeful and have regular scans for localizing the placenta.
complete placenta previa requires a Cesarean delivery if it persists at term.
Take care.
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Had A Miscarriage And D And C. Pregnant. Scan Showing Pacenta Previa. What Is The Chance Of A Normal Delivery?

Hello Thank you for your query. More than 90 % cases of placenta previa move upwards by the third trimester. However, complete placenta previa has lesser chance of migrating upwards as it is lying completely in the lower segment, and completely covering the cervix. With a previous D and C, chances of adherent placenta also increase. However, you can take precautions such as rest / avoidance of sexual activity / strain / jerky travelling etc. Continue to be hopeful and have regular scans for localizing the placenta. complete placenta previa requires a Cesarean delivery if it persists at term. Take care.