Diagnosis and treatment of placenta previa

This is an automatically translated article.

The article is professionally consulted by Specialist Doctor II Lai Thi Nguyet Hang - Department of Obstetrics and Gynecology - Vinmec Ha Long International Hospital.
Diagnosis of placenta previa on ultrasound to locate the placenta in the uterus. Ultrasound monitoring of placenta previa helps doctors have a timely treatment plan, especially when placenta previa is bleeding.

1. Diagnosis of placenta previa

Placenta previa is a condition in which the placenta does not attach to the bottom of the uterus, but part or all of the placenta attaches to the lower uterine and cervical areas, obstructing the movement of the fetus out through the vagina when pregnant. labor mother.
Pregnant women with placenta previa have sudden bleeding, blood volume changes, without abdominal pain, around the 20th week (ie at the end of the second trimester or the beginning of the third trimester) of pregnancy.
Diagnosis of placenta previa can only be detected by ultrasound to determine where the placenta is located in the uterus: fundus, body, anterior or posterior aspect, low attachment, central or semi-central presump .
On examination, the uterus is soft and painless.

2. Treatment of vegetables striker

2.1 For placenta previa without symptoms Clinical examination (no vaginal examination) and ultrasound of placenta previa to determine the location of placenta accreta. Pregnant women are advised to abstain from intercourse, limit travel, do not go far, do not do heavy work, do not practice sports after the 20th week of pregnancy, and rest more. When seeing uterine contractions or placenta previa bleeding, pregnant women need to be hospitalized immediately. 2.2 For placenta previa with bleeding Depending on the degree of bleeding and the maturity of the fetus, the doctor will make a decision to terminate the pregnancy or maintain the pregnancy. When taking extra care of pregnancy, pregnant women need to rest absolutely in bed, eat nutritious food and try to maintain pregnancy until 32 - 34 weeks.. Any case of bleeding placenta previa, pregnant women need be taken to the nearest hospital with the obstetric department for timely treatment. 2.3 Caesarean section for which placenta previa? Caesarean section for the following cases:
Placenta previa has heavy bleeding regardless of gestational age. The placenta is central and the fetus is mature enough (capable of surviving outside the uterus). Vegetable striker semi center.

In case the placenta is low or attached to the edge, it is possible to give birth by vaginal delivery if there are no other abnormal signs. Some cases of 27 weeks gestation are diagnosed with placenta previa, but until the fetus is mature enough, the placenta is still low, so it is still possible to deliver vaginally. Therefore, to decide on the method of delivery, the doctor will give the pregnant woman an ultrasound to check the position of the placenta. Diagnosis of placenta previa is detected only by ultrasound to locate the placenta. Depending on the location of attachment, gestational age and extent of bleeding, the doctor will have an appropriate treatment plan for the mother and fetus.
With the desire to bring the best care for mothers and babies from pregnancy to delivery, Vinmec International General Hospital now has Package Maternity Care Packages. Here, doctors monitor, advise and take good care of mothers and babies from the gestation period, ensuring the safest pregnancy possible. After the birth, mother and baby will rest and relax in a comfortable, international standard hospital room with dedicated and professional care from a team of doctors and nurses at the hospital.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.