Previa Low Location Should Be Born Normal Or Caesarean?
Good afternoon, I want to ask the location of the placenta below the safe distance for a normal delivery without any risk of bleeding. Now this means that the distance is 6 cm from the birth canal. Is it better to have labor through normal or caesarean? Thank you
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Low-lying placenta and placenta previa are abnormal placental positions that can cause bleeding symptoms in pregnant women, and if left untreated with a baby can endanger the condition of the mother and baby. The placenta is normally located in the upper part of the uterus, and because the placenta is a tissue that consists of many blood vessels, so if its position is below and disturbs the birth canal, bleeding can occur.
Low-lying placenta and placenta previa are generally differentiated based on placental location:
Placenta previa totalis, if the placenta covers the entire birth canal, so it is not possible for spontaneous delivery (normal) because of the very high risk of bleeding. Placenta previa partialis, if the placenta partially covers the cervix, so the risk of bleeding is still high and cannot be done normal delivery. marginal previa, if the placenta is at the tip of the cervix, it can be considered for normal delivery, but the risk of bleeding is still high Placenta is low, ie if the placenta is about 3-4 cm from the cervix (not palpated on internal examination), so the risk of bleeding is relatively small and normal delivery can be normal. However, because the placental position can change (especially during uterine contractions), treatment of placenta previa is not only based on the location (anatomically) of the placenta, but also based on symptoms and its (physiological) effects on mother and baby. Although the position of the placenta does not cover the birth canal, but if bleeding often occurs, it can be considered for termination of pregnancy through sectio secarea, or administration of pulmonary maturation drugs for infants.
Therefore, the decision to give birth normally or through sectio cesarea surgery should be taken into consideration by the obstetrician who is treating you, so that other things such as your symptoms, your baby's current condition (position, location, heart rate) can be considered , etc.), or if there are other conditions or diseases that accompany (a history of asthma, eye disease, diabetes, etc.).
Some things you can do right now:
Bedrest total (avoid excessive physical activity) Avoid having sex while maintaining nutritional and fluid needs are met Routine checking for pregnancy You can also read other articles about placenta previa.
So, hopefully you can help.