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Pregnant. Done scanning, low lying posterior placenta. Is that worth worrying? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How can I help you?
User:I am 12 weeks carrying now.. i had undergone scanning today and have few concerns
User:can you help advise on that
Doctor:Proceed with your query.
User:I have low lying posterior placenta with cervix length of 3.3 cms
User:i wanted to know what is the impact of that ans precautions to be taken
Doctor:The position of placenta at this point of time is not relevant now.
Doctor:With time and with progression of pregnancy, the location of placenta can start to ascend up.
Doctor:Yet, low lying placenta after 28 weeks of gestation is concerning.
Doctor:Please avoid any strenuous physical exercise at this point of time.
Doctor:Avoid bending, jumping or skipping
Doctor:and avoid lifting heavy weights.
Doctor:Consult your gynecologist regularly and get antenatal check ups as suggested by your doctor.
Doctor:Repeat ultrasound scans during follow up will tell us about new changes in the location of placenta.
Doctor:Further advise will be suggested as per the follow up scans.
Doctor:Have you followed?
User: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
User:i am worried about that
Doctor: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.
Doctor:Acceptable cervical dilatation during early pregnancy is between 0 - 3 cms.
Doctor:This can be confirmed on clinical examination.
Doctor:Your gynecologist has rightly suggested you to get the procedure done to prevent early miscarriage.
Doctor:In the mean time, my earlier advise regarding resting and avoiding strenuous physical exercise holds good. about walking.. should i avoid that as well?
Doctor:From your scan, it appears that the cervix and os is open.
Doctor:Normal walking is fine,
Doctor:but avoiding strenuous exercises such as climbing floor, running, jumping, skipping is essential.
Doctor:Basically any activity that increases intraabdominal pressure is to be avoided.
Doctor:If you are constipated, talk to your doctor
Doctor:and take a prescription of laxative.
Doctor:Avoid eating heavy and to the brink
Doctor:Do not lie supine or on your belly.
Doctor:Sleep on the side.
Doctor:It would be good to plan for encirclage procedure at the earliest.
Doctor:Have you followed?
User:Yes doctor... i felt happy with your advise and suggestions
Doctor:I understand how precious your pregnancy is.
Doctor:I wish you all the best.
Doctor:Is there any other query?
User:Thank you more last query...even after 28 weeks if i have low lying placenta.. what will be the effect?
Doctor:Low lying placenta is concerning after 28 weeks of pregnancy.
Doctor:It increases the chances of bleeding during pregnancy and which needs to be managed immediately.
Doctor:It also reduces the chances of normal delivery.
Doctor: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
Doctor:avoiding any kind of physical exercise would be restricted then.
Doctor:Any kind of bleeding needs to be reported to your doctor immediately.
Doctor:I suggest you not to be concerned now.
Doctor:Get the procedure as suggested.
Doctor:Avoid physical exercise.
Doctor:and follow up with your doctor.
Doctor:You should be fine.
Doctor:Do you have any other query?
User:NO as of now everything is clarified.. thank you so much for the detailed advise.
User:have a good day doctor
Doctor:You are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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