What Is Placenta Previa? | How To Be Intimate With Placenta Previa?

What is placenta previa?

During the pregnancy placenta is developed inside the uterus that provide oxygen and nutrition to the baby.

The placenta is implanted partially or entirely in the lower part of the uterus; The placenta attaches to your baby through the umbilical cord. it’s called placenta Previa. 

It is the gynecological complications in that painless vaginal bleeding in the third trimester. 

I had earlier shared Focused Antenatal Care Planning And Providing Care During Pregnancy I hope you read the post. 

Total placenta previa
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How to be intimate with placenta previa

Probably you should not have a sexual relationship if you have the complication of placenta previa because it can lead to the risk of antepartum hemorrhage.

If you have placenta previa at the end of pregnancy, a doctor may advise you to rest in bed and avoid having sex and orgasms.

You may have advised for complete bed rest at home. If you have any bleeding symptoms, contact your doctor immediately.

Don’t Forget Read:

Causes of placenta previa

  • Abnormal position of the baby
  • Any previous surgery related to uterus
  • Dilatation and curettage 
  • Alcohol and tobacco consumptions  
  • Age more than 35 years
  • Fertilized ovum implanted in the lower part of the uterus.
  • Twins baby

I have already covered:

Types of placenta previa

Firsat degree ( Type-I Placenta Previa Lateralis– Low lying placenta)

The part of the placenta is attached to the upper segment &only the lower margin encroaches onto, the lower section but not up to the internal OS.

Second degree ( Type-II Placenta Previa marginalis)

The placenta reaches the internal OS but does not cover it entirely.

Type-III (Partial Central Incomplete)  

Partially placenta covers the internal os.

Include the internal OS when it is close but not when it dilate fully.

Central or total (Type-IV)

 The placenta fully covers the internal OS when it dilates fully. 

Signs and symptoms of placenta previa

  • Vaginal bleeding
  • Sudden onset, painless, apparently causeless & recurrent
  • Warning hemorrhage 
  • General condition & anemia are proportionate to visible blood loss.

I also wrote a tutorial on: Premature Infant: Cause, Treatment, And Health Problem In Pregnancy that you can read.

Diagnosis of placenta previa

  • Painless & recurrent vaginal bleeding in the 2nd half of pregnancy
  • TAS (Transabdominal Sonography)
  • TVS (Transvaginal Sonography)
  • Colour doppler 
  • MRI

Abdominal Examination

The uterus is not tender on palpitation & relaxes.

  • FHR is usually normal
  • The head is floating
  • Persistence of malpresentation like breech or transverse
  • Vaginal Examination
  • Not done at the OPD base.
  • Ready for the cesarean section before the examination.

Prevention of placenta previa

  • Proper antenatal care should give to women.
  • Prenatal diagnosis of the low lying placenta at 20 Weeks & 34 Weeks
  • Bleeding should not be taken lightly. 
  • Color flow doppler USG.

 At home:

  • The patient immediately put it to bed.
  • To assess blood loss.
  • Inspection of clothing soaked with blood.
  • To note pulse, Blood pressure, and degree of anemia.
  • Auscultate FHS & note any tenderness on the uterus.

Read: Aims Of Antenatal Care

 Transfer to hospital:

  • Flying squad service is ideal for the removal of patients.
  • The arrangement made to shift the patient an equipped hospital having facilities of BT, emergency CS, NICU.

To get started care, you’ll need to know:

Placenta previa complications

Materanal

During labor

  • Early rupture of membrane
  • Cord prolapse
  • Intrapartum hemorrhage 
  • Increase incidence of operative interference 
  • Postpartum hemorrhage
  • Maternal death
  • Retained Placenta

Puerperium

  • Sepsis 
  • Sub involution 
  • Embolism

Fetal complication

  • Low birth weight baby
  • Asphyxia 
  • IUGR (Intra Uterine Growth Retardation) 
  • Birth Injuries 
  • Congenital malformation

Here are 3 guides that you can refer to learn more about pregnancy complications and its treatment:

What is Uterine Abnormalities?

Severe Anemia In Pregnancy: Symptoms, Causes, Treatment

Abnormal Uterine Bleeding (AUB): Cause, symptoms ,Types, Treatment, Medication

Still have any questions about Placenta previa? Ask in the comments section!

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