Can induced labor be performed if the placenta is low at 4 months?

When the pregnant woman's pregnancy reaches four months, the baby is already in the embryo. Due to the pregnant woman's health condition, an induced abortion is required. The risks of induced labor are different for different pregnant women. For a four-month pregnant woman, there are some risks in induced labor. So, can an induced labor be performed if the placenta is low at four months?

Can I have an induced abortion if my placenta is low at 4 months?

If you perform an induced abortion at this time, there are risks. It may cause intrauterine bleeding and lead to hysterectomy, so you need to pay attention. It is still recommended to get pregnant again. Whether to terminate the pregnancy requires careful consideration and selection. The treatment of placenta previa is to control bleeding, correct anemia, prevent infection, and appropriately choose the time and method to complete the delivery of the pregnant woman. Under normal circumstances, the safety of pregnant women is the top priority. Under the premise of the safety of the mother, premature births should be minimized to reduce their mortality rate.

Placenta previa means that the condition of the embryo is not normal. In placenta previa, the embryo is lodged in the lower half of the uterus, completely covering, partially covering, or touching the edge of the cervix, at the cervical opening. In the early stages of pregnancy, it is normal for the embryo to be in a low position, but as the pregnancy progresses and the fetus grows, the embryo generally moves to the upper part of the uterus.

Placenta previa is divided into central placenta previa, marginal placenta previa, and partial placenta previa. If it is a marginal placenta previa, you can consider induced abortion, but there is also the possibility of excessive bleeding. If it is central placenta previa or partial placenta previa, induced abortion is definitely not possible. A marginal placenta previa may also become a non-placenta previa after 28 weeks of pregnancy due to the rise of the embryo. It is recommended to maintain a cesarean section at full term as much as possible.

The reasons for embryo placement are as follows:

1. Endometrial degeneration in the uterine body. For example, postpartum infection, multiple curettages and cesarean sections can cause endometritis or uterine wall damage, resulting in incomplete development of blood vessels in the decidua of the uterus. When the sperm and egg combine and embed, the blood supply is insufficient, so as to absorb sufficient nutrients and expand the area of ​​the embryo to extend to the lower part of the uterus.

2. The total area of ​​the embryo is too large. For example, the total embryo area of ​​twins is larger than that of singleton, and the incidence of placenta previa in twins with lower uterine segment is twice as high as that in singleton.

3. The embryo is abnormal. For example, the main embryo is in the uterine body, while the accessory placenta reaches the bottom of the uterus near the internal os of the cervix.

4. The combination of sperm and egg causes delayed language development in the trophoblast. When the sperm and egg combine and reach the uterus, they have not grown to the stage where the embryo can implant and sink again, embedding under the uterus and forming placenta previa at this point.