Is it an abnormal fetal position if the placenta is attached to the anterior wall of the uterus?

Is it an abnormal fetal position if the placenta is attached to the front wall of the uterus? Pregnancy is supposed to be a happy thing for a family, so once an abnormal situation occurs, people will panic. So how does the placenta attach to the front wall of the uterus? What harm and impact does this have on pregnant women? Once this situation occurs, how should it be resolved? Here, let us follow the expert’s introduction to learn more about it.

According to experts, the placenta is located on the front wall of the uterus, which is the normal site of placental attachment. The normal placenta is attached to the fundus, posterior wall, anterior wall, or posterior wall of the uterine body. If the placenta is attached to the lower part of the uterus, or even the edge of the placenta reaches or covers the internal os of the cervix, and its position is lower than the presenting part, it is called placenta previa.

It is completely normal for the placenta to be located on the front wall of the uterus, and pregnant mothers do not need to worry. The placenta has three locations: the anterior wall, posterior wall and lateral wall: When the placenta is attached to this side of the belly, it is called the anterior wall of the placenta. When the placenta is attached to the side closer to the back, it is called the posterior wall of the placenta. When the placenta is attached to the side of the human body, it is called the placental sidewall, or more clearly divided into left and right walls. All three situations are normal. Generally, the belly of a mother with anterior placenta will appear larger, while the belly of a mother with posterior placenta will appear relatively smaller.

In fact, placenta previa and placenta attached to the front wall of the uterus are two different things. Placenta previa is what we need to worry about. So how should placenta previa be checked? The specific methods are:

1. Medical history: Sudden, unprovoked, painless, recurrent vaginal bleeding in late pregnancy or during labor should be considered as placenta previa. If the bleeding occurs early and the amount is heavy, the possibility of complete placenta previa is high.

2. Physical signs vary depending on the amount of blood loss. Multiple bleeding episodes may result in anemia, and acute massive bleeding may lead to shock. The abdominal examination is the same as that of a normal pregnancy, except that the presenting part of the fetus is sometimes higher up. Excessive blood loss can cause fetal intrauterine hypoxia, and in severe cases, fetal death. Sometimes a placental murmur can be heard above the pubic symphysis, but it cannot be heard when the placenta is attached to the posterior wall of the lower uterine segment.

3. Vaginal examination generally only involves vaginal peepal and fornix palpation. Endocervical digital examination should not be performed to avoid detachment of the placenta attached there, causing heavy bleeding. If it is complete placenta previa, it may even be life-threatening. Vaginal examination is suitable for confirming the diagnosis and deciding the mode of delivery before terminating pregnancy. It can only be performed under the conditions of infusion, blood transfusion and surgery. Vaginal examination should not be performed if the diagnosis is clear or bleeding is excessive. In recent years, B-type ultrasound examination has been widely used, and vaginal examination is rarely performed.

In fact, people believe that the location of the placenta's attachment can determine whether the baby is a boy or a girl. In fact, this seems to have no medical basis, but many expectant mothers are both happy and worried about it. Experts say that this is unnecessary. As long as the baby is healthy, it is more important than anything else!