PLACENTA PREVIA, CAUSAS, RIESGO, PARTO... - Ginecología y Obstetricia -

PLACENTA PREVIA Dr. Juan Modesto tells us that placenta previa is an obstetric condition where the placenta partially or completely covers the internal cervical os, which can cause complications during pregnancy and delivery. VISIT OUR WEBSITE, DOWNLOAD and PDF: https://aulaginecologia.com/mujeres/p... WHAT IS PLACENTA PREVIA? Placenta previa is a pregnancy condition where the placenta is located very low in the uterus and partially or completely covers the cervix. This condition can cause complications during pregnancy and delivery due to its abnormal position. HOW IS PLACENTA PREVIA DIAGNOSED? Placenta previa is usually diagnosed by ultrasound. The 20-week ultrasound is the one that usually raises the alarm. If at that time the placenta appears low in the uterus, additional monitoring will be performed, as in some cases the placenta can ascend as the pregnancy progresses. WHAT ARE THE SYMPTOMS OF PLACENTA PREVIA? The most common symptom is painless vaginal bleeding, which can occur in the second or third trimester. Some women experience no symptoms, and the condition is only detected through routine ultrasounds. WHAT SHOULD I DO IF I'M BLEEDING AND I'VE BEEN DIAGNOSED WITH PLACENTA PREVIA? If you experience bleeding, you should go to the hospital or seek medical attention immediately. Bleeding can be a sign that placenta previa is causing problems and may require urgent treatment. WHAT TYPES OF PLACENTA PREVIA ARE THERE? There are three types of placenta previa: • Low-lying placenta • Marginal placenta previa • Occlusive placenta previa IS IT POSSIBLE TO GIVE BIRTH NATURALLY WITH PLACENTA PREVIA? A vaginal delivery with placenta previa can pose significant bleeding risks for both mother and baby. Generally, if the placenta completely covers the cervix (occlusive placenta previa), a scheduled cesarean section will be recommended. However, for a low-lying or marginal placenta, a vaginal delivery can be attempted, always paying close attention to the bleeding and knowing that, in these cases, the chances of needing a cesarean section are higher. WHAT CARE SHOULD I TAKE IF I AM DIAGNOSED WITH PLACENTA PREVIA? It is advisable to avoid activities that may trigger bleeding, such as intense physical exercise, lifting heavy objects, or penetrative sex. In some cases, especially if bleeding has occurred, rest may be necessary; relative rest in many cases, or bed rest in higher-risk situations. CAN PLACENTA PREVIA CORRECTE ON ITS OWN? In some cases, especially if diagnosed in the second trimester, placenta previa can be "corrected" as the uterus expands and the placenta moves higher, away from the cervix. However, it is not something that can be actively corrected; it is a process that occurs naturally, if at all. WHAT IS THE TREATMENT FOR PLACENTA PREVIA? Treatment varies depending on the severity and location of the placenta, as well as the stage of pregnancy. It can range from expectant management to planned cesarean delivery. In cases of severe bleeding, hospitalization or an emergency cesarean delivery may be necessary. DOES PLACENTA PREVIA INCREASE THE RISK OF PRETERM DELIVERY? Yes, placenta previa can increase the risk of preterm delivery. Bleeding associated with placenta previa may lead to the need for a cesarean delivery before the expected delivery date. ARE THERE FACTORS THAT INCREASE THE RISK OF PLACENTA PREVIA? The main risk factor for placenta previa is surgery on the uterus, primarily cesarean sections. This is one of the reasons why we shouldn't take this procedure lightly. There are other risk factors, although they are much less important: being over 35 years of age, multiple pregnancies, a history of miscarriages, and smoking during pregnancy. VISIT OUR WEBSITE: WWW.AULAGINECOLOGIA.COM