The Location Of The Placenta Closes The Birth Canal At 30 Weeks Of Gestation?
, uk I have entered 30w with twin fetuses with 1 insulated bag. I don’t know how many placentas I have for my two children. But yesterday during the check-up I was told that the placenta was attached to the birth canal, but the doctor said it didn’t cover everything. My question,
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Twin pregnancies can occur identically (where 1 egg cell that has been fertilized by a sperm cell divides and develops into 2 fetuses) or non-identical (where 2 eggs each are fertilized by different sperm cells). This condition is certainly a gift in itself but at the same time, requires extra care starting from birth.
One thing that mothers with twins often worry about is the possibility of a cesarean delivery. In fact, it is not an absolute contraindication for a mother with multiple pregnancies to be able to give birth normally. A literature actually states that normal delivery of twin pregnant women who are carried out after 32 weeks of gestation or more has a far less chance of complications compared to cesarean delivery. However, this applies when the lowest position of the first fetus of the twins is the head, not the other.
Placenta (uterus) which is located below attached to the birth canal is called placenta previa. This condition can actually change as long as there are no signs of labor. However, considering that your pregnancy has entered the third trimester, it seems that the possibility of a change in the position of the placenta is not too significant.
The location of the placenta attached to or covering the birth canal can prevent the lowest part of the fetus from entering the pelvic inlet. In addition, the lower placenta is at a higher risk of causing the mother to experience massive postpartum hemorrhage. Therefore, in a case like yours, the doctor will most likely consider a cesarean delivery, of course, for the safety of you and the fetus in your womb.
But again, the decision to do the best delivery method, whether through vaginal delivery (normal) or cesarean delivery, needs to be consulted directly with the doctor, namely by considering various other aspects, such as history of previous deliveries, proportion of the head of the pelvis, diseases that the mother suffers from, fetal defects. , etc. Therefore, you should discuss directly with your obstetrician at each of your scheduled visits.
It is recommended to have a prenatal checkup every 1 month until the gestational age enters the age of 8 months, every 2 weeks when the gestational age is 9 months, and once a week when the gestational age enters 36 weeks until the time for delivery arrives. You can discuss the health of the fetus in your womb, how it grows and develops, its presentation (position in the womb), the development of the placenta, and any other conditions that influence the determination of the best delivery technique later. The doctor will certainly explain well all your concerns so that you also understand what is best for you and your own fetus.
Hope it helps ya..
dr. Nadia Nurotul Fuadah