What is placenta previa?

The placenta is a maternal-fetal organ that develops during pregnancy, is located in the uterus and is responsible for supplying the basic needs of the fetus through the mother: breathing, feeding and excretion.

Some problems during pregnancy can arise as a result of alterations in the placenta. One of these cases is placenta previa, which occurs when it grows in the lower part of the uterus and covers the entire opening of the cervix or part of it.

Below you have an index with all the points that we will discuss in this article.

Index

What is placenta previa? - Causes, diagnosis and birth

Types of placenta previa

As the pregnancy progresses and the uterus grows, the placenta moves through the uterus. During the first months of pregnancy, it is common for the placenta to be in the lower part of the uterus, but as the weeks progress, it grows and is located at the top.

Once the third trimester of pregnancy arrives, the placenta measures about 22 cm and weighs about 0.5 kg, and should already be in the upper part of the uterus to clear the birth canal.

If this does not happen, there will be a problem of placenta previa, in which the following types can be differentiated:

Placenta of insertion bajala placenta is located in the lower segment of the uterus but does not reach the opening of the cervix.Parage marginal marginal placenta is next to the cervix but does not cover the opening.Partial previa previathe placenta covers part of the cervical opening.Placenta previous total the placenta covers the entire cervical opening. This type is also known as placenta previa occlusiva.Classification of placenta previa

Causes

The exact cause of placenta previa is unknown.

However, there are some risk factors that predispose women to suffer this complication. They are the following:

  • Uterine malformations
  • Twin pregnancy or multiple pregnancy
  • Having had several pregnancies previously
  • Little time between two births
  • Having had a previous delivery by caesarean section
  • Uterine scars from previous abortions or surgeries
  • Advanced maternal age
  • Tobacco and cocaine abuse

Placenta previa occurs in 1 in 200 pregnant women in the third trimester of pregnancy.

Questions from users

Is it possible to have a vaginal delivery with placenta previa?

By Zaira Salvador (embriologist).

This depends on the type of placenta previa. If it is a complete or partial placenta previa, but with a border less than 2 cm from the outlet of the cervix, the delivery route will necessarily be a cesarean section.

On the other hand, if the edge of the placenta is more than 2 cm from the outlet of the cervix, it is possible to have a vaginal delivery. In this case, if there is any complication during delivery or there is bleeding, a cesarean section will be performed immediately.


childbirth cesareo in Almeria(Spain)

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