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Pregnancy with Placenta Previa

Pregnancy with Placenta Previa

Midwife Pevi Revina STr.Keb February 11, 2021

However, the doctor’s examination will help you to find out the bleeding that has occurred for further treatment. Placenta previa attaches to the lower part of the uterus which is weaker, thinner, and more vascular. As you enter the second and third trimesters, the cervix begins to thin and stretch in preparation for labor. As this area is stretched it can cause the villi (blood vessels) to break causing bleeding. Placenta previa can cause complications for both mother and baby. At an older gestational age, placenta previa can cause bleeding (generally in the third trimester), in addition, placenta previa can result in premature birth, in conditions of worsening health, placenta previa will result in pregnant women getting a cesarean section.

Meanwhile, in a young pregnancy, complications of childbirth can result due to the placenta changing from its normal state. Treatment that can be done for placenta previa in a young pregnancy with expective therapy. This therapy is only for pregnant women who have a good health condition and also a normal hb. As for other therapies that can be done, namely by using active therapy. Whereas at the gestational age who has entered the final trimester, the handling that can be done for people with placenta previa depends on the location of the placenta previa in the patient’s body, in a state of complete previa you will need a caesarean section for delivery while for partial previa you still have the possibility of normal delivery while for marginal previa , the placenta is not at the edge of the cervix so that it does not cover the birth canal.

The doctor will monitor your baby’s heart rate and monitor your vital signs. If the bleeding cannot be controlled, caesarean section is immediately given regardless of the length of pregnancy. Meanwhile, if the bleeding is still under control, the doctor will discuss scheduling a caesarean section with you. Because the risk of bleeding is higher for women with placenta previa, postpartum monitoring will be performed for signs of bleeding. In addition, you can also use drugs recommended by doctors to reduce bleeding that occurs. Administration of drugs can control bleeding such as pitocin drugs and transfusions (if needed). The thing that must be considered is the postpartum health problems of mothers who suffer from placenta previa, namely anemia. Anemia can occur in mothers and babies so that hemoglobin levels will be monitored and iron supplements can be given to minimize other health problems. Always consult your health and your baby if you have a history of placenta previa at the time you are pregnant, this can protect the worst possibility of developing postpartum placenta previa.

About The Author

Midwife Pevi Revina, STr.Keb

Education at the Midwifery Academy of the Tasikmalaya Health Polytechnic and the Bhakti Pertiwi Husada Cirebon Poltekes. Currently working as a civil servant midwife, managing the RHodes24 pregnancy and childbirth clinic, as well as the Founder of the Revina clinic: Baby, Kids n Mom Spa. A resource person on Kompas TV in the Women’s Talkshow and the Internet, has been a Tempo contributor and has also been a partner in the Srikandi Award, an award event for Indonesian Inspirational Midwives

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