Placenta Previa

Placenta Previa is a condition occurring to many women during their pregnancies. Let’s understand the placenta previa condition, its causes, symptoms, and dos & don’ts. The structure of placenta creates inside your uterus during pregnancy, giving oxygen also the nutrition and expelling waste from your baby. The placenta attaches with your baby through the umbilical cord. In many pregnancies, the placenta connects at the top or side of the uterus. Placenta previa occurs when a baby’s placenta partially or covers the mother’s cervix, which is the outlet for the uterus. Placenta previa condition causes severe bleeding during pregnancy and delivery.

Your doctor will suggest keeping away from exercises that may cause contractions, including having intercourse, douching, utilizing tampons, or participating in exercises that can build your danger of dying, for example, running, jumping, and squatting. You’ll require a C-section to deliver your baby if the placenta previa doesn’t resolve. The vaginal red bleeding without agony during the second half of pregnancy is the major indication of placenta previa. A few ladies likewise have contractions. In numerous cases, women diagnosed with placenta previa from the very starting of their pregnancies, it could be resolved. In case, the bleeding is becoming severe, look for medical emergency care. The accurate reason for placenta previa is still unclear.

The factors responsible for placenta previa is common among the ladies who have had a baby, have scars on the uterus, (for example, the past medical procedure, including cesarean delivery, removal of uterine fibroid, and dilation and curettage), had placenta previa with a past pregnancy, are carrying more than one embryo, are at age of 35 or more, are of a race other than white, smoke and use cocaine.

Most doctors suggest women with Placenta Previa not to travel and keep away from pelvic tests. Be that as it may, the accompanying can increase your risk factor, in case, you are 35 years old with multiple pregnancies and have undergone any surgical procedure of uterine specifically in any case of incision type.

Now with a full understanding of the condition, you might be able to comprehend the complications in pregnant women with placenta previa occurs. At Chandan hospital, we encountered a similar case of placenta previa. However, it was more complicated as the woman (name cannot be revealed due to privacy issues) came in with full-term pregnancy referred by another hospital and with a history of bleeding in pregnancy. Normal delivery was out of the question considering her condition. Even caesarian was of high risk due to the heavy bleeding. Assessing her condition, if the bleeding went out of control could lead to multiple blood transfusions or removal of the uterus altogether as there was a possible life threat due to bleeding.

This was for the first time in Uttar Pradesh that this procedure was executed by Dr Saba-e-Firdaus (gynaecologist) & Dr Rohit Agarwal (interventional radiologist) of Team Chandan. They planned the operation cautiously as Dr Rohit performed uterine artery balloon catheterization which was inflated after the deliverance of the baby. Though this way blood supply to the uterus was temporarily blocked and time was provided to control the bleeding. The balloon was deflated and removed after the same. This way the case was successfully handled with normal blood as there was no requirement to transfuse blood. The case was successfully managed by both doctors. The patient left the Chandan hospital on the third day in a healthy condition and a healthy baby. To overcome such a challenge was a humongous task in itself as the life of both the baby and the mother was at high risk if at any time to bleeding could not be controlled. The doctors righteously managed the whole case exercising every precaution they could have been possible.

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