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I have low lying placenta seen in 11 weeks ultrasound, the doctor said that it may spin and it 's early to talk about placenta praevia,should I take any precautions from now? like sexual intercourse?.
17 أغسطس 2014

د. Zakia Dimassi طب الأطفال
Placenta previa, or low lying placenta, is when the placenta, which is the structure that provides oxygen and nourishment to the baby, forms at a lower than usual zone in the uterus, and sometimes it may even cover the cervix.
This condition is frequently diagnosed during the week 20 of pregnancy, and up to 90% can go away as the pregnancy progresses- only 10% will have persistent placenta previa. But if you've had a previous c-section, then the risk of persistent placenta previa becomes 50%.
The minor types of placenta previa that do not cover the cervix appear to migrate upwards as the pregnancy advances and the uterus expands. During this apparent upward migration, the placenta remains attached to its original location.
If your placenta does not cover the cervix and you have no bleeding during your pregnancy, your repeat ultrasound scan should be at 36 weeks.
Yet a repeat ultrasound is recommended at 32 weeks under the following circumstances:
●your placenta covers the cervix at the 20-week scan
●you have had a previous c-section and your placenta is low-lying at the front part of the uterus.
If you develop major placenta praevia (the placenta covers the cervix) you may need hospital admission as of 34 weeks of pregnancy because there is a small risk of sudden and severe bleeding, which could lead to an urgent caesarean section.
If you have a low-lying placenta and you experience any bleeding, contractions or pain, contact your doctor.
Meanwhile, refrain from sexual intercourse, avoid straining (as in constipation), and make sure you're on iron supplements to avoid anemia.
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