What should I pay attention to when the placental edge covers the internal cervical os?

The placental edge covering the internal cervical os is actually a relatively common disease. Generally, patients with this disease cannot give birth normally and need a caesarean section. The most common symptom of the placenta edge covering the internal cervical os is painless vaginal bleeding. Pregnant women with such symptoms must seek medical attention in time.

When the placenta covers the internal os of the cervix, it is placenta previa, a common disease during pregnancy. It can easily cause symptoms such as painless vaginal bleeding. Vaginal delivery is basically impossible with this disease. What needs to be paid attention to now is to minimize bleeding, prolong the pregnancy time as much as possible, and perform a cesarean section after the fetus is mature.

The principle of treatment for placenta previa is to stop bleeding and replenish blood. If the bleeding is minor and the fetus is not full-term, expectant therapy can be used. Pregnant women should maintain a balanced mentality, absolutely stay in bed and rest, and sexual intercourse is strictly prohibited. Pregnant women who have stopped bleeding, can walk, have easy access to medical care and are no longer bleeding may be allowed to leave the hospital. If a pregnant woman suffers from repeated heavy bleeding that leads to anemia or even shock, the pregnancy should be terminated for the mother's safety, regardless of whether the fetus is mature or not. After the fetus reaches 36 weeks, if the fetal maturity examination shows that the fetal lungs are mature, the pregnancy should be terminated. In cases of marginal placenta previa, the descent of the fetal head can compress the placenta and effectively stop bleeding. In this case, vaginal delivery is possible, but blood must be available for delivery. In other cases, cesarean section is the preferred method of terminating pregnancy.

Placenta covering the internal cervix is ​​the way to prevent

1. Avoid lifting heavy objects: In the middle and late stages of pregnancy, you should be more careful about the details of your life. It is not advisable to lift heavy objects or exert force on your abdomen to avoid danger.

2. Suspend sexual activity depending on the situation: If there are bleeding symptoms or the pregnancy enters the late stage, sexual activity should not be performed. In addition, patients with milder placenta previa should also avoid too intense sexual activity or actions that compress the abdomen.

3. Seek medical attention immediately if you have bleeding: If you have bleeding symptoms, no matter how much blood is flowing, you should see a doctor immediately. If you meet a new obstetrician, you should also proactively inform him that you have a placenta previa.

4. Don’t be too tired: Pregnant women with high-risk pregnancies should rest more to avoid being too tired and affecting the smoothness of pregnancy and delivery.

5. Pay attention to fetal movement: Pay attention to whether the fetal movement is normal every day. If you feel that the fetal movement is significantly reduced, you need to see a doctor as soon as possible.

6. Choose a suitable prenatal check-up hospital: If you are a patient with third or fourth stage placenta previa, it is best to choose a large hospital or medical center for prenatal check-up so that problems such as premature birth and heavy bleeding can be dealt with immediately.

7. Do not over-exercise: Excessive exercise may also cause placenta previa bleeding or other symptoms. Therefore, this type of pregnant woman should not engage in strenuous exercise.