Can pregnant women with low-lying placenta sit for a long time?

Can pregnant women with low-lying placenta sit for a long time?

After pregnancy, you should pay attention to active prenatal examinations. If you find that the placenta is low, you need to pay attention to some methods of treatment and resolution, because a low placenta will also directly affect the fetus, and some may cause bleeding or shock. You cannot sit for a long time during pregnancy.

1. Processing

1. Expectant therapy aims to bring the fetus to or near full term while ensuring the safety of the pregnant woman. It is suitable for pregnant women who do not lose much blood.

2. Termination of pregnancy (1) Cesarean section: Applicable to patients with gestational age > 36 weeks, patients with shock caused by bleeding, patients with massive bleeding during expectant management, and patients with repeated bleeding near the due date. (2) Vaginal delivery: Suitable for women with marginal placenta previa, normal fetal position, labor in progress, moderate vaginal bleeding, good general condition, and smooth labor, who are expected to complete labor within a short period of time.

2. Nursing

1. Nursing during expectant therapy Patients must rest in bed and lie on their left side to prevent bleeding caused by activities; oxygen should be given intermittently at regular intervals, 3 times a day, 30 minutes each time, to increase the blood oxygen supply to the fetus; bleeding should be closely observed and blood should be prepared for standby; during bed rest, nurses should provide all daily care; sexual intercourse and vaginal examinations are prohibited, and medication should be given as prescribed by the doctor, such as blood tonics, contraction inhibitors (magnesium sulfate, salbutamol, etc.), and sedatives; Monitoring of the intrauterine condition of the fetus: instruct pregnant women to count fetal movements 3 times a day for 1 hour each time, monitor fetal heart sounds 4 times a day, and perform fetal heart monitoring when necessary; assist pregnant women in doing necessary auxiliary examinations, such as B-ultrasound to monitor fetal maturity; if there is a lot of bleeding, pregnant women should take a head-down and foot-high position, replenish blood volume and keep veins open in a short period of time, and follow the doctor's orders to make preoperative preparations and neonatal rescue preparations.

2. Care for termination of pregnancy If a pregnant woman undergoes a cesarean section, she should actively prepare for the operation. If vaginal delivery is performed, artificial rupture of membranes will be assisted with blood transfusion and fluid infusion, and a belly band will be wrapped around the abdomen to force the fetal head to descend. At the same time, oxytocin will be dripped intravenously to enhance uterine contractions. After vaginal delivery, the cervix should be checked for lacerations.

3. Psychological care

Personnel should explain the basic situation of the disease to patients to reduce their fear of the disease, provide psychological comfort, give emotional support, and allow family members to accompany them.

IV. Health Education

Instruct pregnant women to pay attention to rest, strengthen nutrition, correct anemia, enhance resistance, and prevent postpartum hemorrhage and infection after discharge from the hospital.

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