What causes the placenta to prolapse in pregnant women? Such requirements include
During pregnancy, the expectant mother may experience any problems: pain in the lower abdomen, toxicosis, dizziness, swelling…. In addition, many pregnant women are faced with a diagnosis such as low placentation (LP).
Low placentation - what is it?
The placenta is an organ that forms in a woman’s body during pregnancy. With the help of this organ, the child receives all the nutrients necessary for his normal existence: vitamins, fats, proteins and carbohydrates. The placenta is the connection between mother and child, through which the fetus is protected from infections, supplied with oxygen and nutrition.
NP – incorrect location placenta. The placenta is located very close to the inner edge of the uterine os. Typically, this diagnosis is made when the lower edge of the placenta is located at a distance of 5-6 centimeters from the exit from the uterus (internal os of the uterus).
Reasons why the placenta prolapses
The causes of NP may be the following disorders in the body of the expectant mother:
- Problems associated with disorders of the endometrium (mucous layer). Such disorders can result from previous abortions, cesarean sections, any infectious uterine diseases and inflammation of the female reproductive system.
- Multiple pregnancy.
- Uterine fibroids.
- Underdevelopment of the uterus.
The symptoms of low placentation are quite unpleasant, so the disease can be diagnosed at the very beginning. These symptoms include:
- bloody discharge that is not accompanied by any pain;
- bleeding;
- placental abruption;
- strong nagging pain lower abdomen.
It also happens when there are no symptoms. In this case, the presence of NP can be determined by ultrasound.
If you begin to be bothered by pain in the lower abdomen, then you need to calm down and lie down with your legs up. When the pain decreases, go to the doctor and urgently ask for an ultrasound scan. If there is bleeding, call ambulance, or, if possible, have them take you by car.
Remember strong blood can threaten not only your pregnancy, but also your life.
First of all, if you have been diagnosed with NP, don't worry. This does not mean at all that you will lose the child, or you will have to have a caesarean section. It happens that NP is a temporary phenomenon that goes away on its own.
However, you should be aware that with NP there may be some complications:
- Decreased blood pressure.
- Gestosis (late toxicosis).
- Bleeding.
- A small abruption of the placenta, while the child does not receive the full amount of what he needs.
- Risk of premature birth.
- Miscarriage.
- Placental abruption, which may lead to the need to terminate the pregnancy.
- The need for delivery by cesarean section (at 38 weeks). This need arises in cases where NP is accompanied by fetal presentation (there is no exit from the uterus).
It is important for pregnant women who are diagnosed with low placentation to know what placental migration is.
Placenta migration is its ability to move upward along the wall of the uterus. That is, by the end of pregnancy the placenta may be on normal level. But the placenta can “use” this ability only up to 7 months of pregnancy. At 7 months, the placenta occupies a position that will no longer move. Based on this, until the 3rd trimester, there is no particular need to worry about this diagnosis. You just need to be patient and wait.
If, however, you have been diagnosed with NP for more than later pregnancy, then treatment will be necessary. NP treatment isn't quite what you think it is. All treatment comes down to rest and careful attitude to yourself and your future baby. For NP in later stages, it is necessary to:
- Refuse sexual activity.
- Lead a calm, measured lifestyle: do not jump, do not overexert yourself, do not carry heavy objects.
- You need to rest more often and lie down with your legs raised up (place a pillow under them).
- For every bleeding and severe pain you need to see a doctor.
- If necessary, go to save.
Take care of yourself, drive healthy image in life, don’t be nervous about trifles – and everything will work out for you!
Have an easy delivery!
- This is a fairly common pathology in women with a pregnancy of up to 30 weeks. Moreover, it occurs more often in women over 30-35 years of age who have previously had pregnancies. Where does this pattern come from and how can low placentation be dangerous? back wall and anterior, as well as complete presentation of the baby's seat?
Where exactly in the uterus should it normally be located? children's place? On one of its walls or in the bottom, but not in the area of the internal os (the opening of the cervix into the uterus). If the baby's place is located directly on the internal pharynx, doctors make a diagnosis -. If the diagnosis persists until the 36th week of gestation, doctors not only admit the woman to the hospital ahead of schedule, but also perform a planned caesarean section on her. If the baby's place is simply located close to the lower part of the uterus, doctors make a slightly different diagnosis - low placentation during pregnancy, and this situation is usually less dangerous. IN in this case the child's seat is located at a distance of no more than 6 cm from the internal pharynx.
What it is
So, the placenta or “baby place” - main defense future baby during intrauterine life. It is a thickened membrane and forms in the wall of the uterus immediately after fertilization and attachment of the egg.
It is with her help, unborn child your entire pregnancy receives nutrition, oxygen and protection from the penetration of various toxins and possible infections from the mother’s body.
An important point is the location of the placenta:
- less than 6 cm (in practice 2 cm) from the internal os of the uterus - low placentation;
- more than 6 cm from the exit (internal os) of the uterus is the normal position of the placenta.
Where does this data come from? The fact is that, according to research, blood flow near the fundus of the uterus has the most beneficial effect on the formation and blood supply of the placenta. And it is a distance of more than 6 cm of the uterine pharynx that is considered optimal.
With low placental attachment, some problems with the course of pregnancy are already observed. We will definitely consider how exactly a low placenta affects expectant mother and pregnancy.
In the meantime, let's find out why this happened and what could have affected the attachment of the placenta? The reasons for this phenomenon may be the anatomical features of the woman, and past illnesses genital area: infections, inflammations, abortions.
Why is it dangerous?
Low placenta during pregnancy. This diagnosis, unfortunately, appears in large number medical records of pregnant women. What is this and how dangerous is this state of affairs?
Let's start with the fact that normally the placenta should be attached closer to the bottom of the uterus, because it is here that metabolism proceeds at maximum speed, which means that blood flow will flow at maximum speed, which is very good for the fetus. However, sometimes the placenta attaches below the fundus. And if the attachment site is lower than six centimeters from the internal os, then this is a low placenta.
In this case, one question is of fundamental importance - does the placenta cover the os of the uterus. After all, the decision about whether childbirth will take place depends on the answer to this question. naturally or a caesarean section will be necessary.
There may be three options:
- The low-lying placenta does not block the internal os;
- The placenta partially covers the pharynx. This is called incomplete placenta previa;
- The placenta completely covers the pharynx. This position is called placenta previa.
If you are diagnosed with the third option, then only in this case a cesarean section cannot be avoided. The first two options are not an indication for a cesarean section, and you will be able to give birth to your baby naturally.
In the case of placenta previa, the uterine os is completely closed and this will not allow the baby to enter the pelvis. And in case of birth, the childbirth takes place in full readiness for surgery if necessary. If a low placenta during pregnancy does not cover the pharynx, then such a woman needs to remember that it is possible early detachment placenta and she needs to carefully monitor her health and follow all the recommendations of her doctor.
What causes improper attachment of the placenta? Normally, a fertilized egg penetrates the wall of the uterus, creating a depression in it - a lacuna. It is through the lacuna that all the substances it needs begin to flow to the egg. Over time, the lacuna turns into the placenta. The most the best place for egg attachment - this is the back wall of the uterus and its bottom. And this is where the fertilized egg is normally located.
But if the walls of the uterus have some defects, then the egg cannot attach to the in the right place and is located below. Defects may be different. For example, such as:
- Scars after surgical birth;
- Scars after abortion;
- Myomatous nodes;
- Adenomyotic formations;
- Congenital anatomical defects.
Low position The placenta is dangerous because the nutrition of the fetus may be disrupted. Therefore, those pregnant women who have low placentation have a high probability of developing fetal malnutrition and hypoxia. There may also be early placental abruption.
Placental abruption is not always complete, when major bleeding occurs and the fetus dies. Sometimes the detachment can be partial. And in the place where this happened, blood begins to accumulate and a hematoma forms. The larger the area where the placenta is detached, the worse the little man feels.
Not all pregnant women have a low-lying placenta until the end of pregnancy. Placental migration often occurs. This happens because the lower part of the uterus is constantly changing and increasing in size. Therefore, the placenta insertion rises.
Statistics say that only five percent of pregnant women who have been diagnosed with low placentation continue to have this situation until the thirty-second week. Of the remaining five percent, only a third maintain low placentation until thirty-seven weeks.
Modern medicine does not know how to combat low-lying placenta. However, you need to visit your doctor regularly and hope you don't fall into the unlucky five percent.
Causes
Experts name several reasons why a pregnant woman’s placenta may be low-lying. One of them lies in the anatomical features of the organs of the woman’s reproductive system. This can be facilitated by: congenital pathologies(physiological abnormalities) and acquired as a result of exposure negative factors. Low placentation may be a consequence of past inflammatory processes, sexually transmitted infections and vascular diseases of the pelvic organs, or surgical interventions in the area of gynecological organs. Elderly pregnant women are also at risk for low placentation.
Placentation occurs most often in women giving birth to more than their first child. This is noticed when carrying out ultrasound examination. The position of the uterus is constantly diagnosed by doctors. In particular, they do an ultrasound - at 16, 24-26 and 34-36 weeks, and they can also conduct a dynamic echographic study.
Even the most emotionally balanced women slightly lose the ability to reason sensibly during pregnancy - this is “taken care of” by the person who changes greatly during pregnancy. hormonal background.
Maternal instinct makes a woman anxious for no apparent reason, and if the leading doctor announces the diagnosis of “low placentation during pregnancy,” some people even panic.
And completely in vain: this condition does not apply to pathological conditions and can change over the course of pregnancy.
According to WHO, 99% of pregnant women with low placentation, determined in the middle (or near the end) of pregnancy, successfully give birth on their own. But in one percent of cases this condition is truly dangerous. How not to get into this group?
Low placentation during pregnancy - what is it?
The placenta is a kind of “fortress” for the child, which provides him with maximum physical and immune protection, satiety, health and full development. Formed in the wall of the uterus, the placenta is a thickened part of the embryonic membranes and a branched network of blood vessels in it.
The weight of the placenta can reach one and a half kilograms. As a rule, it is located at the bottom of the uterus and begins to develop after the implantation of a fertilized egg into the wall of the uterus. To attach the egg and form the placenta, the area of the best blood supply in the uterus is selected, often next to a blood vessel at the base of the epithelium.
The end of placenta formation occurs at 12-16 weeks and is directly related to the end of pregnancy toxicosis.
Attachment of the placenta to the walls or bottom of the uterus is considered normal if the baby's place is located further than 5-6 centimeters from the os of the uterus. In the case of low placentation during pregnancy, the implantation of the egg occurs dangerously close to the pharynx, and can cause complications. The doctor monitors the condition of the placenta throughout pregnancy in order to see the presentation in time, which determines the method of delivery.
As pregnancy progresses, the uterus enlarges, while the implantation site remains in place. It is due to the increase in uterine tissue that the placenta “migrates” further from the internal os, up to the normal distance of 5-6 centimeters.
Symptoms of low placentation
A correctly formed placenta, which does not completely block the internal uterine os, may not make itself known to the pregnant woman at all: low placentation during pregnancy is often noticed only at the last ultrasound.
But in certain cases, the described condition leads to the threat of miscarriage, and the pregnant woman develops:
Spotting bloody discharge;
Regular aching pain in the lower abdomen and lower back;
Fetal hypoxia;
Reduced arterial pressure pregnant.
Low placentation during pregnancy: causes
Women with their first pregnancy practically do not encounter a low placenta, since the more changes have occurred in the condition of the genital organs, the higher the risk of an undesirable location of the pregnancy.
The causes of this condition have not been fully studied to this day. The formation of the placenta in the cervical area is considered normal by many. But there are conditions that contribute to deviations from the norm in the development of the placenta.
Causes of low placentation during pregnancy:
The pregnant woman is over 30 years old;
Second or more births;
Manual separation of the placenta previous births;
Dystrophic and atrophic processes in the endometrium - uterine scars, damage to the mucous layer of the endometrium after cesarean section, abortion or cauterization of erosions;
Blastocyst immaturity;
Anatomical features structure of the reproductive organs (septa in the cavity, bending, underdevelopment of the uterus);
Pathology of the villous chorion (more often in women with impaired ovarian function or genital infantilism) - endometrial restructuring occurs untimely;
Congenital or acquired physical abnormalities;
Pathology of the cervix - endocervicitis, erosion, isthmocervical insufficiency;
Inflammatory processes in the pelvic organs;
Benign neoplasms, polyps;
Abortion or other surgical interventions on the functioning of the reproductive organs;
Multiple pregnancy;
Infectious diseases;
Chronic ailments (cardiovascular, kidney and liver diseases, intoxication) that provoke circulatory disorders in the reproductive organs.
Separately, it is necessary to say about benign neoplasms. The likelihood of low placentation during pregnancy in this case increases. If the doctor discovered polyps, fibroids and other tumors in the genitals while planning your pregnancy, and suggests surgery, it is undoubtedly better to agree.
Damaged endometrium after surgical intervention And inflammatory diseases in the uterus suggests that it is advisable to wait at least a year before getting pregnant.
The influence of low placentation on the course of pregnancy, complications
The larger the fetus becomes, the more it puts pressure on the uterine cavity. The blood vessels of the placenta are compressed, and blood flow in the uterus and placenta is disrupted. These processes can lead to fetal hypoxia (lack of oxygen) and delayed intrauterine development. The pregnant woman at this time experiences weakness, low blood pressure, and may develop anemia.
More dire consequences Low placentation during pregnancy is much less common. It can cause placental abruption with impaired blood supply, which develops acute hypoxia and even fetal death. Bleeding in this case forces doctors to perform operative delivery.
Low placentation during pregnancy: diagnosis
By the end of the third trimester, the chorion, as a result of gestation, is transformed into the placenta, consisting of blood vessels. This is the time of the first ultrasound examination, genetic pathologies of the fetus and developmental defects are identified. It is ultrasound that allows you to quickly and safely identify problems with the placenta.
At the first ultrasound at 12-16 weeks, 80% of pregnant women are diagnosed with “low placentation.” The diagnosis is confirmed at 22-25 and 30-35 weeks. Normally, towards the end of pregnancy, the baby's place shifts, and by the time of birth it is in its normal position.
If bleeding occurs and an ultrasound cannot be performed, the cervix is examined using speculum to detect part of the placenta in cervical canal. The method is quite dangerous and is used only in extreme cases in the presence of an operating room.
Low placentation during pregnancy: what to do
Medical practice shows that the overwhelming majority of pregnant women with low placentation initially, towards the end of the term, come to childbirth with normal condition uterus and placenta. This is due to the constant modification of the lower segment of the uterus, which often increases and raises the baby's place higher and higher. Usually such women give birth on their own.
Low pracentation by the 32nd week of pregnancy persists only in five percent of women with this diagnosis. By week 37, only a third of the remaining retain this condition. By the date of birth, no more than one percent of pregnant women have the placenta located closer than 2 centimeters to the internal os of the uterus. These pregnant women are diagnosed with placenta previa and undergo a cesarean section.
The risk of bleeding during natural childbirth in pregnant women, when the placenta is located more than 2 centimeters from the internal os of the uterus, is no higher than when normal location placenta.
Although low pracentation during pregnancy is not pathological condition up to 38 weeks, women with this diagnosis are recommended to latest dates:
Walk less, do not neglect rest;
In a lying position, place your legs on a hill;
Do not squat or bend low;
Do not miss scheduled examinations with the leading doctor, follow the ultrasound and test schedule;
Monitor vaginal discharge.
If the lower abdomen begins to bother you and bloody discharge appears, then you need to immediately tell the doctor if the pregnant woman is in the hospital, or call an ambulance and go to the department of pathology of pregnant women.
Is it possible to fly on an airplane with low placentation?
Pregnant women with this condition have great fears when traveling, especially if they need to fly on an airplane where there are strong pressure changes and g-forces. Consultation with a doctor is required, and if he gives the go-ahead for flying with low placentation, then you can safely go on a trip. As a rule, until the middle of pregnancy, almost nothing is prohibited for a woman, so until the 20th week there is, one might say, no risk of miscarriage or bleeding. Naturally, the shorter the flight, the better, and you should not take heavy luggage with you.
Low placentation during pregnancy: what not to do
By following certain rules of behavior, a pregnant woman can reduce the risk of complications with low placentation to zero.
Such requirements include:
1. Minimizing physical activity: running, brisk walking, active sports and sex life - it is better to refrain from this.
2. Elimination of sudden movements and vibrations - travel less in any type of transport (especially in public).
3. Taking medications prescribed by a doctor.
4. Observation vaginal discharge, and in case of bleeding, immediately take a horizontal position and call an ambulance (the speed of these actions affects the outcome of the pregnancy and the preservation of the life of the fetus).
Childbirth with low placentation
In this case, only the doctor chooses the method of delivery. He may decide to puncture the ovum, then the placenta will be fixed by the fetal head. Such births are most often carried out in operating rooms in order to have time to perform a cesarean section if the fetus is located in an unsuitable position for delivery (feet forward).
Low placentation during pregnancy at 37-38 weeks forces doctors to recommend that the woman be hospitalized in the pathological department of pregnant women, where she will be under constant supervision.
By the time of birth, the placenta can “move away” to an acceptable distance - then natural childbirth possible.
However, during childbirth, the muscles of the uterus contract and it decreases in volume, but the placenta remains its original size.
As a result blood vessels, connecting low placenta with the walls of the uterus, they become very tense, they can even rupture and premature detachment placenta.
The fetus will not receive enough oxygen and the brain may be damaged.
To prevent such complications, doctors decide to perform a cesarean section if the situation with low placentation has not changed by 38 weeks.
The diagnosis of low placentation during pregnancy is given to many women. But there is no need to worry until the 3rd trimester. The placenta has the property of migration. This means that once attached to the wall of the uterus, it can move over time. This does not mean that matters should be left to chance. Placenta migration must be monitored. To do this, you will need to undergo an ultrasound at 16 weeks, 24-26 weeks and 34-36 weeks of pregnancy. As a rule, the process of placenta migration ends by 34 weeks.
Low placentation is a position when the placenta (its lower edge) is located below 5 cm from the exit of the uterus.
The placenta, also called the baby's place, is a temporary organ in the body of a pregnant woman, formed exclusively during pregnancy. The placenta is a very important organ, since it is through it that the baby receives the necessary nutrients (carbohydrates, fats, and vitamins). It protects the baby from infections, provides oxygen and removes all metabolic products.
The placenta has the appearance of a disc with an approximate diameter of 15 cm, weighing 0.5 kg, attached to the wall of the uterus. It is covered with two plates: the one that faces the fetus, and the one that is attached to the uterus. Between the plates there are many blood vessels. The location of the placenta is of no small importance.
Sometimes the placenta is attached low, in some cases covering part or all of the exit from the uterus - this attachment is called partial (complete) placenta previa. This condition is very dangerous, since it almost always ends in heavy bleeding during childbirth, therefore delivery most often occurs with the help.
And sometimes the placenta is attached when it is located low, but does not reach the exit site. Such attachment is called low or low placentation.
This condition, in general, is not dangerous and does not interfere with natural delivery, although the pregnant woman must be aware of it and comply with certain conditions.
The reason for improper attachment of the placenta is a disorder of the uterine mucosa (endometrium) resulting from previous before abortions, difficult childbirth, postpartum or post-abortion infections, diseases of the genital organs. Changes in the endometrium prevent the implantation of a fertilized egg in the required place, causing the implantation site to change.
During normal course During pregnancy, the placenta is fixed on the back or front wall of the uterus, closer to its bottom, which is located at the top of the uterus.
There are cases when the placenta, for certain reasons, is attached quite low and can block the exit from the uterus with its body. This situation is defined as pathology. 
However, placenta previa should not be confused with low placentation. With low placentation, it is located low, but there is a gap of several centimeters between the placenta and the outlet. Therefore, low placentation and presentation are not the same concept.
Causes of improper placement of the placenta:
Damage to the endometrial mucosa (occurs during abortion, due to infections in the uterus acquired during childbirth or during an abortion, inflammation of the female genital organs).
- multiple pregnancy.
- uterine fibroids.
The danger of low placentation
Since the fetus develops in the uterus, its weight accordingly increases; during movements, the pressure on the placenta increases. As a result, bleeding may occur. In addition, with low placetality, it can begin during physical exertion, sudden movements, and coughing.
A low placenta can negatively affect the baby. At the bottom of the uterus, the blood supply to the vessels is not as good as in the upper sections, so the fetus may not receive the necessary nutrients, as well as oxygen.
Other negative consequence low placentation can manifest itself in placental abruption during pregnancy and its termination.
Treatment and behavior with low placentation
No special treatment is required here. A pregnant woman with this position only needs to follow some rules:
- refuse sexual activity.
- do not jump, do not carry heavy things, rest more often.
- When you go to bed and just relax, put a pillow under your feet.
- Visit your doctor regularly and report any bleeding.
- If you are offered to go to the hospital for conservation, do not refuse.
It should be remembered that the placenta can move up to 34 weeks, namely rise. Then the dangers of improper fastening will disappear.
The placenta is an organ that determines the life and development of the fetus in the womb. This is the part membrane, in which the umbilical cord is attached to the wall of the uterus. The place where the umbilical cord attaches to the uterus is called the baby's place, the placenta. It can be located in front or behind, closer to the bottom of the uterus or to its outlet (pharynx). What does low placentaria mean during pregnancy? What are its causes and how dangerous are the consequences?
What does it mean
The placenta has the shape of a flat disk, thickening in the membrane amniotic sac. Translated from Latin, the word “placenta” means “flatbread”. The structure of the placental flattening is similar to a sponge with many small pores. This organ provides nutrition, breathing to the baby, and removal of waste products from the baby’s body.
The placenta forms in the wall of the fetal membrane. Its thickness by the end of pregnancy reaches 4 cm. The place where the placenta is attached determines its ability to fully supply the baby with oxygen and nutrition.
The best place to place the placenta- the fundus of the uterus (despite the name, it is located at the top, under the diaphragm). Blood circulation is increased here, which means that the child will receive food through the mother’s blood. good nutrition and sufficient oxygen. With this fastening, best conditions for fetal development.
And one more thing: the bottom of the uterus does not experience pressure from the weight of the growing baby, so the blood vessels inside the placenta do not shrink and ensure normal blood flow.
The most inappropriate place for the location of the placenta - the os of the uterus, the exit from the uterine sac, in which the baby develops for 9 months. With this arrangement of the child's seat independent childbirth are impossible, they threaten suffocation for the child (in order for the baby to be born, the placenta must detach and open the pharynx (exit), and therefore stop supplying oxygen to the baby).
Not fatally dangerous, but also unpleasant is the attachment of the umbilical cord close to the exit-pharynx. With this arrangement developing fetus puts pressure on the pharynx and tears the umbilical cord from the wall of the uterus. This causes bleeding and the threat of miscarriage. Or another complication is possible - insufficient area for attachment of the placenta causes fetal hypoxia (incomplete supply of the brain with blood and oxygen).
When the umbilical cord is attached in the lower part of the uterus, not far from the pharynx, doctors talk about low presentation.
The term “low placentaria” refers to the location of the baby’s place closer than 6 cm from the exit of the uterus.
What dictates this figure?
During normal childbirth, the cervix dilates by 10 cm. A dilation with a diameter of 10 cm is considered complete and sufficient to allow the baby’s head to pass through. If you divide the 10 cm diameter in half, you get a distance of 5 cm on each side of the pharynx. Therefore for normal birth The placenta attachment should be more than 5 cm.
Consequences
Why is low placentaria dangerous for the baby and his mother? In order to answer the question posed, let's look at what functions the placenta performs, why do mother and baby need this organ?
The placenta provides breathing, nutrition and excretion to the baby in the womb. Through its pores, the baby’s body receives oxygen, carbohydrates, proteins, vitamins, and microelements from the mother’s blood. It gives back carbon dioxide and other products of its own vital activity.
Low placenta previa is dangerous for its weak development (due to constant pressure from above). A placenta of small thickness and area is formed. The baby in the womb receives insufficient nutrition and oxygen. IN best case scenario, lack of nutrition slows down development. At worst - oxygen starvation creates dementia.
Low presentation contributes to placental abruption with the appearance bloody discharge. Bleeding with low placentaria signals the complete or partial separation of the baby's place from the wall of the uterus. In this case, urgent medical assistance, in order to save the life of not only the child, but also the mother.
A woman with a low placenta needs to protect herself from overload and not use public transport(at least during rush hour), move smoothly and carefully. Complete placental abruption as a result of careless or sudden movement means the death of the fetus (its suffocation) and serious blood loss for the mother.
Causes
In normal physiology, the fertilized egg is attached to the upper part of the uterus (in the area of the so-called bottom). If the walls of the uterus are damaged (scars from previous abortions, infection, inflammation), ovum will look for other places for better fastening. Often, in the presence of inflammation or sutures, adhesions, the embryo attaches to the lower part of the uterine cavity and begins its development.
Psychosomatics plays an important role. A woman’s fear of losing a child, the emotions of hostility that the pregnant woman and her relatives experience directly towards the fact of her pregnancy, form the conditions for various pathologies.
To ensure that your future pregnancy proceeds without complications, try to avoid the following factors (they can cause low placenta previa, cause birth complications, weaken the development of the baby in the womb):
- Abortion.
- Inflammatory and infectious diseases genitals. If you have recently treated inflammation, postpone pregnancy for a couple of months. The lining of the uterus must be properly restored for fertilization, conception and gestation to take place. the best way. And one more thing: it is imperative to prepare for future pregnancy- be examined for possible hidden infections. Such measures will prevent damage to the mucous walls of the uterus and ensure normal attachment of the fertilized egg.
- Uterine sutures and adhesions (from a previous cesarean) make it difficult to implant the egg. Maximum size sutures and adhesions - in the first few years after surgery. Over time, they dissolve a little and become smaller. Therefore, when caesarean section It is not recommended to become pregnant earlier than four years after the previous operation.
- Avoid destructive emotions: hatred, hostility, envy, fear. They do not help you in any way, but the harm from their presence is quite noticeable. This fact is confirmed by both psychologists and gynecologists.
What to do
90% of cases with low presentation placentas at the beginning of pregnancy end quite successfully - natural birth. The fact is that during the process of bearing a baby, the placenta can migrate - move upward along with the growth of the uterus. More often this is observed when the baby's place is attached to the anterior wall of the uterine cavity, less often when the placenta is attached to the rear wall. Therefore, diagnosing “low placentaria” during the first ultrasound at 12 weeks does not give cause for great concern, but recommends a gentle daily routine, refusal of sex and proper rest.
We list the rules of behavior for a pregnant woman with a low placenta:
- Limit as much as possible physical exercise: do not run, do not jump, walk calmly and measuredly, do not make sudden movements, do not lift or carry heavy objects.
- Cancel sex life. The low location of the placenta makes sex traumatic and creates a risk of detachment of part of the membranes and bleeding. Therefore, sex with low placentaria is limited until the child’s place rises above 6 cm (according to ultrasound examination).
- Sometimes pregnant women are prescribed bed rest, hospital stay. But even critical conditions when there is bleeding, it can be controlled. So, if at 11 weeks the placenta blocked the pharynx and bled, then at 15 weeks with proper treatment there may be no overlap. And at 30 weeks the position of the placenta may be higher than 6 cm from the edge of the os.
Treatment
Visualization is a non-traditional approach to treatment that has proven itself in cases of placenta levée and umbilical cord wrapping. This technology is based on the impact positive attitude and the human psyche on the world around us.
The essence of visualization is mental representation desired result. So, with a low presentation, a woman several times a day (two, three, four) imagines how the placenta attachment site rises up and moves to the fundus of the uterus. This method also helps make natural childbirth possible when the baby is wrapped in the umbilical cord.
Traditional treatment methods use the following pharmaceutical drugs:
Hypoxia in a child is not the result of insufficient walks by the mother. fresh air. The cause of hypoxia (lack of oxygen) often lies in a violation placental circulation. Therefore, Magne B6 and Curantil are prescribed to almost all pregnant women who remain pregnant or are treated in a hospital.
And one more thing: all infections are subject to mandatory treatment. Practice confirms that after mycoplasma is cured, the placenta “rises” to its place.
Low placentaria - dangerous complication pregnancy. It can be avoided if you prepare for conception: do not have abortions, treat inflammation in a timely manner, and be examined for hidden sexually transmitted infections.
However, even if the baby's place is attached low, at the beginning of pregnancy this is not a reason to panic. , minerals and a calm regime will allow your placenta to rise and take its rightful place on the bottom of the uterus.
