Placenta Previa in Pregnancy

Gynecology, Obstetrics and IVF Specialist Op. Dr. Seval Taşdemir told what should be known about placenta previa, which causes bleeding during pregnancy.

Placenta previa, which can cause bleeding during childbirth or pregnancy, is a condition that occurs as a result of the growth of the placenta tissue towards the cervix.

While the placenta normally settles on or on the edge of the uterus, in some cases the placenta may continue to grow below the uterus. This growth progresses to completely cover the cervix, creating problems.

What are the symptoms?

Placenta previa occurs in two ways. While placenta previa that partially covers the cervix can heal on its own, intervention is essential for placenta previa that completely covers the cervix.

Placenta previa manifests itself with painless bleeding in the second half of pregnancy. If this formation has existed before and has resolved spontaneously, it does not cause any symptoms.

Pain in the lower abdomen, pain or bleeding after sexual intercourse, and bleeding that occurs periodically in the first half of pregnancy may be signs of placenta previa.

How is it treated?

This problem does not always have to be treated. In some cases, the formation disappears on its own, and in some cases, the dimensions of the formation do not constitute an obstacle to a normal delivery.

There is no definitive treatment for placenta previa. Treatment may differ depending on the person and situation. If the person’s bleeding is light, it is recommended to rest.

In this case, it is very important not to have sexual intercourse and to avoid heavy and strenuous movements in order to prevent the bleeding from recurring. If the person’s bleeding continues intensely, this time, a detailed examination with ultrasound and different tests should be used to examine the details of the problem.

In this case, drug therapy is started. If the bleeding due to placenta previa does not stop, a cesarean delivery can be performed even if the delivery period is not completed.

What are the risk factors?

Women who become pregnant after the age of 30 are three times more likely to have this condition than women in their 20s. Smoking, uterine fibroid surgery, abortion and multiple pregnancies can trigger placenta previa.

Having more than one birth, giving birth by cesarean section and having undergone uterine surgery are among the conditions that may cause this formation.

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