Low lying placenta during pregnancy

I am 32 weeks pregnant and every thing is normal in my pregnancy but last ultrasound sonography report was low lying placenta.  It is my second delivery. First i had c-section.  So what is chance about second time. I want to do normal delivery. I  worried about my sonography report. Please suggest me something.

 

 

 

Low lying placenta during pregnancy
Answered
Obstetrics & Gynae

Answer ( 1 )

  1. You had previous caesarean and now scan shows Low Lying placenta, is known as “placenta praevia”. There are four types of Placenta Praevia. In type I placenta may migrate upward and vaginal delivery may be possible. 0.5 - 1 per cent of women will still have a low lying placenta at full term this can lead to massive complications including premature birth, haemorrage. Which can mean normal vaginal delivery is not possible and the safest way of delivering your baby would be by Caesarean section. During labour the cervix opens to let the baby pass into the vagina and allow delivery. If the placenta is covering the cervix, then the placenta will separate from the uterus as labour progresses. This separation can cause significant bleeding for the mother and can lead to shock requiring urgent medical treatment such as a blood transfusion. Rest in bed and avoid having sex and orgasms. You may also be advised to spend the last few weeks of pregnancy in hospital, particularly if you have had any bleeding, so that you can have a caesarean section straightaway, if necessary. Doctors will decide how to treat your placenta previa based on the amount of bleeding, the month of your pregnancy, the baby’s health, and the position of the placenta and the baby. The amount of bleeding, however, is the main consideration when a doctor is making a decision on how to treat the condition.