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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Placenta Is In Lower Margin At 19th Week Pregnancy, What Should I Do?

i m 19weak 3 days pregnant ,i had ultrasound yesterday.....report says BPD=4.5cm HC=16.5cm FL=2.9cm AC=13.4cm HL=2.7 cm........but finally she said the placenta is lower margin is extending upto Os........what should i do?
Fri, 9 May 2014
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General & Family Physician 's  Response
Hi and welcome to HCM

Low-lying placenta, or placenta praevia, is a complication of pregnancy where the placenta that feeds the growing baby is attached to the lower part of the womb near to or covering the cervix.
There are several types of placenta praevia:
1. A low-lying placenta is near the cervical opening but not covering it. It will often move upward in the uterus as your due date approaches.
2. A partial placenta praevia covers part of the cervical opening .
3. A total placenta praevia covers and blocks the cervical opening.

You are probably having the first one, but as pregnancy progresses placenta may move upward.

The main symptom of placenta praevia, and the greatest risk to you and your baby, is vaginal bleeding. The bleeding that signals placenta praevia may occur at the end of the second trimester or beginning of the third trimester. It may be heavy or light.Bleeding is usually painless

Mothers with a placenta praevia are also at increased risk of delivering prematurely, before 37 weeks of pregnancy.

Treatment part
1.90% of placenta praevias early in pregnancy resolve on their own, early treatment is often not necessary unless there are other complications.
2.avoid heavy exercise and sex (which your doctor has advised)
3.repeat ultrasounds later in pregnancy to verify the position of the placenta.
Bed rest
4.In Most of placenta praevia cases caesarean section may be performed.

All the best
Dr Santosh

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Placenta Is In Lower Margin At 19th Week Pregnancy, What Should I Do?

Hi and welcome to HCM Low-lying placenta, or placenta praevia, is a complication of pregnancy where the placenta that feeds the growing baby is attached to the lower part of the womb near to or covering the cervix. There are several types of placenta praevia: 1. A low-lying placenta is near the cervical opening but not covering it. It will often move upward in the uterus as your due date approaches. 2. A partial placenta praevia covers part of the cervical opening . 3. A total placenta praevia covers and blocks the cervical opening. You are probably having the first one, but as pregnancy progresses placenta may move upward. The main symptom of placenta praevia, and the greatest risk to you and your baby, is vaginal bleeding. The bleeding that signals placenta praevia may occur at the end of the second trimester or beginning of the third trimester. It may be heavy or light.Bleeding is usually painless Mothers with a placenta praevia are also at increased risk of delivering prematurely, before 37 weeks of pregnancy. Treatment part 1.90% of placenta praevias early in pregnancy resolve on their own, early treatment is often not necessary unless there are other complications. 2.avoid heavy exercise and sex (which your doctor has advised) 3.repeat ultrasounds later in pregnancy to verify the position of the placenta. Bed rest 4.In Most of placenta praevia cases caesarean section may be performed. All the best Dr Santosh