Do I need to stay in bed all day if I have a low-lying placenta?

A low-lying placenta does not require the woman to stay in bed all day, but more rest can keep the placenta unstable. Mainly, bed rest can prevent the woman from suffering from severe bleeding. Pregnant women with low-lying placenta cannot engage in physical labor, and need to avoid strenuous exercise and exercises such as squatting. They can go to the hospital for treatment regularly. A low placenta will cause trouble for pregnant women during childbirth. Everyone can understand the clinical significance of a low-lying placenta.

Is bed rest necessary for low-lying placenta?

uncertain. A low-lying placenta is a condition in which the placenta is within 3 cm of the internal cervical os. Generally speaking, doctors will advise pregnant women to rest more, but will not recommend them to stay in bed. If the patient with placenta previa has severe bleeding, he or she must rest in bed.

Usually, doctors recommend that pregnant women with low-lying placenta lead a regular life as usual. But at the same time, you also need to pay more attention to not doing heavy physical labor, and avoid strenuous exercise such as running, jumping, etc., and avoid squatting and other actions that increase abdominal pressure. You can lie on your left side when resting in bed. If you experience symptoms such as bleeding, abdominal pain, or other discomfort, you should go to the hospital immediately.

In fact, as the pregnancy progresses, the early low-lying placenta will move up by itself. By the 7th month of pregnancy, the position will generally be fixed, and you should go to the hospital for an ultrasound examination to confirm the diagnosis. It is also recommended to continue following the doctor's instructions, adjust to relax, exercise appropriately, maintain a normal work and rest schedule, and avoid squatting and other adverse factors.

Can a low-lying placenta result in a normal birth?

The low position of the placenta has always been a problem that troubles pregnant mothers. Nowadays, due to various reasons, this phenomenon cannot be prevented, so many mothers have questions such as whether a low position of the placenta can lead to a normal birth. Let me tell you whether a low position of the placenta can lead to a normal birth! For the sake of the unborn little angel, pregnant mothers must pay attention!

After 28 weeks of pregnancy, the placenta attaches to the lower part of the uterus, and the lower edge of the placenta even reaches or covers the internal os of the cervix. Its position is lower than the presenting part of the fetus, which is called placenta previa. Placenta previa is a serious complication of late pregnancy and a common cause of heavy bleeding in late pregnancy and during delivery. When diagnosing placenta previa by B-ultrasound, the gestational age must be taken into account.

In the second trimester of pregnancy, before 28 weeks of pregnancy, the placenta occupies half of the area of ​​the uterine wall, so there is a greater chance that the placenta is close to or covers the internal cervical os. In the late pregnancy after 28 weeks of pregnancy, the area occupied by the placenta is reduced to 1/3 or 1/4 of the uterine wall. The formation and extension of the lower uterine segment increases the distance between the internal cervical os and the edge of the placenta. Therefore, the placenta originally in the lower uterine segment can move upward with the uterine body and change into a placenta in a normal position.

Therefore, many scholars believe that if placenta previa is found during B-ultrasound examination in mid-pregnancy, it should not be diagnosed as "placenta previa" but should be called "placenta previa state". B-ultrasound should be checked every 4 weeks or so. If there is vaginal bleeding, B-ultrasound should be checked in advance so that the doctor can make appropriate treatment in time.

If placenta previa is diagnosed and there is no vaginal bleeding or only a small amount of vaginal bleeding, the gestational age should be extended to 36 weeks as much as possible while ensuring the safety of the pregnant woman. Because after 35 weeks of pregnancy, the frequency of uterine physiological contractions increases, and the bleeding rate of placenta previa increases significantly, the risk to pregnant women and fetuses increases. Therefore, doctors will detect fetal lung maturity at 36 weeks of pregnancy in pregnant women with placenta previa and choose cesarean section to terminate the pregnancy when appropriate.

Cesarean section can deliver the fetus in a short period of time, then separate the placenta as quickly as possible, use uterotonics to strengthen uterine contractions, observe the bleeding on the placental separation surface in the lower part of the uterus under direct vision, and use drugs or surgical methods accurately to stop bleeding and prevent heavy bleeding during and after delivery.