The Possibility Of A Normal Birth In Pregnant Women With Placenta Previa?
Good afternoon, I introduce I’m 20 years old and now I’m pregnant entering 21 weeks last Sunday I control and ultrasound I feel the baby’s movements tend to be more active in the lower abdomen turns out that my placenta is under the fetus and almost covered the baby’s exit but said My midwife does not need to worry, the bigger the fetus will rise, I want to ask later when labor is the possibility that it can be normal, and the midwife must be very extra-hearted and totally rested, but if I want to travel far, safe, thank you
Good afternoon, thanks for the question
Placenta previa is implantation of the placenta close to the mouth of the cervix in the inside. Some types of placenta previa are:
1. Placenta previa totalis: the cervix mouth is completely covered by the placenta
2. Partial placenta previa: cervix mouth is partially covered by the placenta
3. Marginal previa placenta: the tip of the placenta is at the edge of the cervix
During the developing pregnancy the placenta will move along with the uterus that stretches and continues to grow. Generally, the palsenta will move towards the top of the uterus in the third trimester. This position will make the birth canal, ie the cervix's mouth not covered during labor. However, if until the third trimester the placenta is still found at the edge or covering the entire cervix, it is classified as placenta previa.
Symptoms of placenta previa generally include bleeding from the birth canal without pain. Complaints of bleeding generally occur only slightly but arise repeatedly. The exact diagnosis is made through an ultrasound examination to assess the location of the placenta.
To avoid heavy bleeding, the patient is advised to have total rest at home, reduce activity, not travel far, and do not do strenuous exercise. Beware if there is a slight bleeding from the birth canal at more than 20 weeks, you should do further consultation with an obstetrician.
In the case of placenta previa totalis at gestational age entering the third trimester, normal delivery cannot be carried out so that caesarean section is indicated as a method of delivery. Whereas in the case of mild placenta previa which is a marginal type, it can still be considered for a normal delivery.
That's all, hope you can help