Can I sit for a long time if the gestational sac is located low?

The gestational sac of some pregnant women is located slightly lower in the uterus, which will have a certain impact on the middle and late stages of pregnancy and even on childbirth. In order to reduce possible risks, if the gestational sac is found to be low during prenatal examination, effective measures should be taken immediately. So, can you sit for a long time if the fetal sac is located slightly lower?

If the gestational sac is located slightly lower, it is recommended not to sit for a long time. It is best to rest in bed more. Even if the gestational sac is normal, it is not recommended to sit for a long time, as it may compress the uterus.

What to do if the fetal sac is low

Be sure to rest in bed, correct anemia and use antibiotics to prevent infection. If the gestational age is less than 34 weeks, uterine contractions are inhibited and fetal lung function is promoted. At the same time, the patient's condition was carefully observed and relevant auxiliary examinations were carried out. If bleeding occurs repeatedly and excessively, termination of pregnancy may be considered.

1. Termination of pregnancy

(1) Cesarean section is the key method to terminate pregnancy due to placenta previa. Before the operation, shock should be corrected actively, and blood flow should be supplemented by drips and intravenous injections. During the operation, attention should be paid to the selection of the site for uterine incision, and the embryo should be avoided as much as possible. Incision of the embryo to deliver the fetus usually causes internal bleeding, so it should be avoided only when it is absolutely necessary.

(2) Natural delivery Natural delivery is to use the presenting part to compress the embryo to achieve the purpose of blood circulation. This method is only suitable for marginal placenta previa and the fetus is in the head position. Bleeding occurs before and after delivery, but the amount of blood is very small. The pregnant woman is in general good condition, the delivery process goes smoothly, and it is estimated that the delivery can be completed in a short time. However, it should be noted that in marginal placenta previa where the embryo is attached to the posterior wall of the uterus, during the process of lowering the fetal head during delivery, the embryo is squeezed by the two bony organs of the fetal head and sacrum, which can easily cause fetal blood stress and lead to fetal intrauterine hypoxia. Therefore, close monitoring is required during delivery.

2. Other

Pregnant women who have given birth by caesarean section and then become pregnant again need to undergo color Doppler ultrasound examination in the early stage to clarify the relationship between the gestational sac and the uterine incision. If the woman is pregnant at the site of the original cesarean section wound, she needs to go to a hospital with good diagnosis and treatment standards to terminate the pregnancy. For pregnant women whose embryos are found to be attached to the wound site in the late stage, the risk of penetrating placenta accreta is very high. It is necessary to establish a high-risk outpatient card in the tertiary hospitals, and do a good job in preoperative discussion and surgical treatment selection in the early stage. According to the size of the incision area, surgical treatment methods such as uterine massage and uterine contraction agent application, partial 8-shaped suture to activate blood circulation, ligation of the ascending and descending branches of the uterine artery or the internal iliac artery, intrauterine occlusion with gauze or water bag to activate blood circulation, partial removal and repair of the incision, embryo retention, blockage, mifepristone or MTX, internal iliac artery catheterization before operation, and necessary intraoperative intervention can be used to minimize bleeding and injection volume. However, since bleeding is inevitable, a large amount of blood sources need to be prepared in advance. In order to save the safety of pregnant women, it is necessary to perform a total hysterectomy or even a hysterectomy to remove the embryo that has invaded the bladder.