Complete Placenta Previa: Risks and Delivery Options

Q: Complete Placenta Previa: Risks and Delivery Options

Hello： The placenta may have the opportunity to move upward as the pregnancy progresses, but this is not guaranteed. <br>Therefore, if the placenta remains low and obstructs the pathway for natural delivery by the time of full term, it is referred to as placenta previa, which nec

Please provide your questions regarding placenta previa?

Hello, I am currently 24 weeks and 5 days pregnant with my third child.
The fetus is healthy and has grown to 26 weeks.
My first two pregnancies were natural and full-term.
However, I have been diagnosed with complete placenta previa this time.
The hospital and obstetricians have advised me to have a cesarean section due to issues with antepartum hemorrhage.
I have the following questions:
1.
Is there any possibility that I could have a natural delivery before giving birth, and that the placenta previa issue could resolve itself?
2.
I am O negative blood type.
Should I be concerned and seek delivery at a larger hospital? Do hospitals have this blood type available? Is there a shortage of this blood type in blood banks?
3.
Are there any warning signs of bleeding? Can I avoid bleeding until full term? I am worried because my previous two babies weighed only 2585g and 2735g, so I am concerned that if this baby is born early, they may be too small.
4.
Is there any risk associated with a cesarean section? The doctor mentioned antepartum hemorrhage and postpartum hemorrhage.
What can I do to mitigate these risks?
5.
My in-laws say I am overreacting.
I have only heard about these concerns from my private obstetrician in Zhongli and the doctor at Lixin Hospital.
They suggested I go to Linkou Chang Gung Memorial Hospital for further evaluation.
Is this necessary? If I experience bleeding, it would take time to drive to Linkou.
Is there a risk to the baby? I am very worried because after four years, I finally have a son, and I am feeling anxious and concerned.
I hope you can provide me with detailed responses.
Thank you.

Wenwen, 20~29 year old female. Ask Date: 2006/02/06

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello: The placenta may have the opportunity to move upward as the pregnancy progresses, but this is not guaranteed.
Therefore, if the placenta remains low and obstructs the pathway for natural delivery by the time of full term, it is referred to as placenta previa, which necessitates a cesarean section.
RH blood is scarce, and it is generally required to order from the blood donation center through the hospital's blood bank.
What you can do now: 1.
Rest in bed more and pay attention to fetal movements.
2.
Start going for prenatal check-ups at a large hospital, and plan to give birth at Hsinchu Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2006/02/06

More Info

Understanding complete placenta previa is crucial for managing your pregnancy and ensuring the safety of both you and your baby. Placenta previa occurs when the placenta is positioned low in the uterus and covers the cervix, which can lead to complications during delivery. Here are answers to your questions based on medical knowledge and guidelines:
1. Possibility of Natural Birth: In cases of complete placenta previa, the likelihood of the condition resolving before delivery is low, but not impossible. Some women may experience a shift in the placenta's position as the uterus expands, which can allow for a vaginal delivery. However, this is not something that can be predicted with certainty. Regular ultrasounds will help monitor the position of the placenta as you approach your due date. It is essential to follow your healthcare provider's recommendations regarding delivery methods.

2. Blood Type Considerations: Being O negative (Rh-negative) means you may require Rh immunoglobulin (RhoGAM) if you have any bleeding during your pregnancy. It is wise to plan for delivery in a facility that can handle potential complications, especially if you have a history of bleeding or if your placenta previa is complete. Most hospitals, especially larger ones, will have the necessary blood supplies, including O negative blood, but it is always good to confirm with your chosen hospital.

3. Signs of Bleeding: While some women with placenta previa may experience bleeding, not all will. If bleeding occurs, it can be sudden and may vary in amount. It is crucial to be aware of any signs of bleeding and to contact your healthcare provider immediately if it happens. To minimize the risk of bleeding, you should avoid activities that could trigger it, such as heavy lifting, strenuous exercise, or sexual intercourse, as advised by your doctor.

4. Risks of Cesarean Delivery: A cesarean section (C-section) is often recommended for women with complete placenta previa due to the risk of severe bleeding during labor. While C-sections are generally safe, they do carry risks, including infection, blood loss, and complications from anesthesia. The risk of antepartum (before labor) and postpartum (after delivery) hemorrhage is a significant concern with placenta previa, making careful monitoring and planning essential.

5. Seeking a Second Opinion: If you have concerns about your diagnosis or treatment plan, seeking a second opinion from a specialist, such as those at a larger hospital like Lin-Kou Chang Gung Memorial Hospital, can be beneficial. It is essential to feel confident in your care, especially with a high-risk condition like complete placenta previa. If you experience any bleeding, it is crucial to seek immediate medical attention rather than waiting to drive to another facility.

In conclusion, managing a pregnancy with complete placenta previa requires careful monitoring and planning. Regular check-ups, following your doctor's advice, and being aware of the signs of complications are vital. Your concerns are valid, and it is essential to advocate for your health and the health of your baby. Stay in close contact with your healthcare provider, and do not hesitate to seek additional support or information as needed. Your well-being and that of your baby are the top priorities.

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