Movement of the child along the front wall. Placenta along the anterior wall

The placenta is a temporary organ that forms in the early stages of pregnancy. This is an embryonic structure that provides the embryo with oxygen and nutrients, as well as excretory function. It also plays a protective role, protecting the fetus from infections. Most often, the baby's place is fixed in the posterior and lateral areas, but it is not uncommon for the placenta to be located along the anterior wall of the uterus. If there are no other pathological abnormalities, this situation is not dangerous for the woman and does not require additional treatment.

Collapse

What does this mean?

Localization of the chorion along the anterior wall of the uterus is not a pathological deviation, but the woman requires careful medical supervision. The baby's place develops on the 7th day in the area of the uterus where the implantation of the fertilized egg occurred - in the anterior, posterior and lateral areas. However, fixation of the placenta to the posterior wall near the fundus of the uterus is considered more favorable for the woman.

With intensive growth of the fetus, the walls of the reproductive organ gradually stretch, but this process occurs unevenly. It is the anterior wall of the uterus that is subjected to the greatest load. When the muscle layer is stretched, it becomes thinner, while the density and thickness of the posterior sections change little. In addition, the anterior part is more quickly injured by impacts and movements of the child, therefore creating the threat of damage and premature detachment of the placenta.

Unlike the muscular layer of the uterus, the placenta does not have the ability to stretch, so fixing it on a dense posterior wall near the fundus of the uterus is the best option for a woman.

However, there is some good news. If the chorion is attached to the anterior uterine segment, it migrates upward faster than with other fixation options.

If the placenta is 6 cm or more above the internal os of the uterus, this is considered normal and the woman should not worry. Most often, pregnancy proceeds without abnormalities, and delivery occurs safely.

Reasons for this attachment

Not all processes during pregnancy proceed smoothly; for some reason, the embryo attaches to the side or front of the reproductive organ. The mechanism of the phenomenon has not been studied in detail, but there are predisposing factors:

Injuries to the walls of the organ;
The presence of scars and adhesions;
Endometriosis;
The presence of myomatous nodes;
Delayed development of the fertilized egg.

Most often, the placenta is located along the anterior wall of the uterus when the integrity of its internal walls is violated. This happens after numerous curettages, abortions, and caesarean sections. The structure of the endometrium is influenced by inflammatory processes and endometriosis.

Such attachment of the chorion is rarely detected in primiparous women; most often it is found during subsequent pregnancies. This is explained by changes in the internal walls of the reproductive organ during childbirth.

Sometimes the fertilized egg develops more slowly than necessary. Because of this, the embryo does not have time to penetrate the wall of the uterus in time and is attached to the front or lower part of it.

The localization of the embryo in one or another part of the uterus means that at the time of implantation of the embryo there was the best mucous membrane. That is, in this segment there was good blood supply and sufficient thickness.

How does localization affect bearing a child?

Many doctors consider the location of the placenta on the anterior wall of the uterus to be normal. For the course of pregnancy and childbirth, it does not matter whether the baby’s place is located on the front or back wall. Another parameter is much more important - the height of the child’s seat from the os of the uterus. Low attachment is dangerous for the development of presentation and spontaneous miscarriage of the fetus.

Possible complications of the anterior attachment of the placenta to the uterus

During a screening examination of pregnant women, the location of the placenta must be determined. This allows you to take into account all the risks and prevent pathology in time. Despite the fact that the fetus is attached to the anterior wall of the uterus, this does not necessarily affect the course of pregnancy. It can proceed without complications and end in a successful delivery. However, certain dangers still exist.

The risk of placental abruption increases. The growing fetus puts pressure on the uterine wall and pushes intensely, and the force of the movements increases in proportion to the duration of pregnancy. Closer to childbirth, so-called training contractions occur, during which the uterus contracts. The baby's place cannot follow its contractions, so the danger of detachment increases. If the placenta is attached high, the uterine wall has no scars, then the woman is not in danger.
Fetal hypoxia. The location along the anterior uterine wall can impede the supply of nutrients to the baby, which is dangerous for the development of placental insufficiency and gestosis. Pathology develops with low placentation, when the grown fetus compresses the blood vessels. As a result, blood circulation and metabolism between mother and child are disrupted.
Placenta previa. The most favorable situation is to place the chorion at the back, since as the uterus grows it moves upward. Anterior fixation creates certain problems. If for some reason the embryo is attached too close to the internal os, then as the size of the uterus increases, the baby's place may slide down. At the same time, it completely or partially closes the exit of the uterus. In the case of complete presentation, the birth of a child cannot proceed naturally, and there is a risk of bleeding and miscarriage.
The risk of tight attachment and ingrowth of the embryonic structure increases. Existing scars interfere with normal fixation of the chorion. However, the pathology is quite rare and for its development there must be certain conditions:

The afterbirth is located in front;
There are cicatricial changes in the lining of the uterus;
Low mounting of the child seat.

Placenta accretion to the uterine wall is possible in the presence of all 3 factors.

Presentation is dangerous due to placental abruption, bleeding and miscarriage.

How is the location of the placenta determined?

The location of the baby's place is determined during a routine ultrasound. In the absence of any pregnancy pathologies, characteristic symptoms are not observed, and the woman’s well-being does not suffer.

There are some things to consider during pregnancy:

Fetal movement is felt weaker, sometimes later than expected;
When listening to the baby's heartbeat, the sound will be duller and more distant;
The size of the abdomen is slightly increased;
Squeezing the abdomen and any injuries to it create a greater danger than when the placenta is located behind.

If there is an anterior presentation, it is determined by the doctor during a gynecological examination.

The anterior position of the child's seat is not a pathological deviation; many doctors consider the situation to be completely normal. If a woman does not have gynecological diseases (fibroids, cysts on the uterus) and cicatricial changes in the myometrium, then the pregnancy proceeds without pathology and ends in term birth. Since the situation is accompanied by certain risks, the woman needs careful medical supervision.

As you know, the placenta is a special organ that is formed only during pregnancy and is the connecting link between mother and fetus. The placenta performs many functions to ensure the life of the unborn baby, such as cleansing the baby’s blood, nutrition, removing waste and toxins, and uninterrupted supply of oxygen to the baby. Also, it protects the fetus from infections.

The placenta is tightly attached to the wall of the uterus, it has a developed vascular system; two arteries and veins go from the placenta along the umbilical cord to the baby, supplying the baby’s body with nutrition and oxygen.

Very often we do not think about how the placenta should be located, and yet there are many options for its location in the uterus. During an ultrasound scan in the second trimester of pregnancy, the doctor must write down the results of the study, and in one of the points on the study results form the doctor will write down data on the location of the placenta.

How should the placenta be normally located?

The ideal location for the placenta is considered to be along the posterior wall of the uterus. This is the classic, familiar location of the placenta. Why? To answer this question, we must delve a little deeper into matters of anatomy.

The non-pregnant uterus is located in a woman's lower abdomen, just behind the bladder. As the pregnant uterus grows, it moves forward and the bladder becomes behind the growing uterus. Continuing to grow, the uterus protrudes forward and is located in the middle of the woman’s abdomen. In appearance, it begins to resemble a bag, with a convex and stretchable front side, and a dense, smaller back side. A growing child greatly stretches the front side of the uterus, while the back side remains less mobile and grows and stretches more slowly than the front.

From this it is worth concluding that for the placenta, which, unlike the uterus, is not an easily distensible organ, the best location option would be attachment to the posterior wall of the uterus.

Here are some advantages of placing the placenta on the posterior wall:

1. Ensuring immobility. The posterior wall of the uterus is not very extensible; it is denser and thicker than the anterior wall. When the uterus contracts, the placenta will not experience stress and there will be no risk of placental abruption.

2. Less trauma. The baby, moving and pushing in the uterus, will not touch the placenta as much as if it had a different location.

3. Less risk of placental abruption. Premature placental abruption occurs more often with anterior attachment.

4. Less risk of placenta accreta and true placenta accreta. Statistics show that in the case of a cesarean section during a previous birth, the placenta, if attached to the anterior wall of the uterus, can become attached to scar tissue, which creates a risk of placenta accreta.

5. Less risk of placenta previa.

The placenta may not only be located on the back wall of the uterus, although this option is ideal. It also happens that the placenta has a lateral location - on the right or left side of the uterus, or on the back side with entry to the left or right side.

And it happens that the placenta is located on the anterior wall of the uterus. This arrangement is not considered a pathology, and is not considered dangerous either for the mother or the child. However, this placement of the placenta may have its risks, and you need to be aware of this.

Risks of anterior placentation

1. Risk of placental abruption. Why? Let's look at anatomy again. Above we talked about why the location of the placenta along the posterior wall is the most preferable for the mother and fetus. As we already know, the anterior wall of the uterus is more extensible and thinner than the posterior wall. A growing child puts pressure on the front wall of the uterus, and also pushes intensely. The longer the pregnancy, the more susceptible the uterus is to external influences.

When the baby moves, or when a woman strokes the abdomen, training contractions of the uterus - Braxton-Higgs contractions - may occur. These contractions are not dangerous for either the mother or the unborn baby, however, if the placenta is located on the anterior wall of the uterus, in some cases there may be a risk of placental abruption. As the uterus contracts, it decreases in size, but what about the placenta? If the placenta is well attached, there are no scars or other pathological changes on the uterus, then everything should be fine.

2. Risk of placenta previa. Anatomy also plays a role here. If the placenta is located along the posterior wall, then as the uterus grows and as the placenta itself develops, the placenta always moves upward. This is how nature intended it to reduce the risk of placenta previa and, as a result, bleeding. However, if the placenta is located in the front, then certain problems may arise here.

If the embryo was not initially attached very low in the uterus, then the placenta will grow high, or at a normal distance from the cervix. But if for some reason the embryo is attached too much to the exit of the uterus, then the placenta growing on the front wall will not grow upward, but will move downward as it grows, closer and closer to the cervix. This is dangerous due to partial placenta previa, or complete placenta previa, when the placenta completely covers the internal os, making natural birth impossible and increasing the risk of premature placental abruption and dangerous bleeding.

3. Risk of tight attachment and true placenta accreta. This type of pregnancy pathology is rare, but it should not be forgotten by those who have undergone cesarean sections and other surgical interventions on the uterus in the past. Tight attachment and true placenta accreta can occur in those who have had any internal damage to the uterus, for example: abortions with curettage, cesarean sections, manual separation of the placenta and, as a result, damage to the inner surface of the uterus, as well as perforation and uterine rupture , which is extremely rare.

The scars formed in the uterus after such actions interfere with the normal attachment of the placenta. However, placenta accreta in such cases can only occur under the influence of certain factors and a combination of factors:

- insolvent or improperly healed scar in the uterus;

- low attachment of the placenta;

— a prerequisite is the location of the placenta along the anterior wall.

When these three factors are met, the risk of placenta accreta or true placenta accreta increases significantly.

However, we want to tell all expectant mothers: do not be upset if you find out that your placenta is not attached to the uterus quite as it should be. The location of the placenta on the side or in front is not a pathology, and for this to become a danger, certain conditions must be met. You can give birth with the placenta on the anterior wall and most mothers manage to carry the pregnancy to term quite calmly and then give birth naturally without any complications.

Be attentive to your health, see your doctor, and everything will be fine. Good luck with your pregnancy and happy birth!

A little anatomy

The uterus is the reproductive organ in the female body. It is in the uterus that life is born, and the growth and development of a small person occurs. This organ resembles a pear in shape - the wider part is located on top, and the narrow part, which passes into the cervix, is located below.

The structure of the uterus is quite simple: the outer layer is serous, and the inner layer, consisting of intertwined muscle fibers, is mucous. Due to the presence of a powerful muscle layer and the chaotic arrangement of muscle fibers, the uterus is capable of greatly changing its size during pregnancy.

Anatomically divided into several parts: bottom, body and neck. Conventionally, gynecologists distinguish the walls of the uterus. This is necessary to establish the point of attachment of the placenta during pregnancy, and also serves as a guide for pathological processes developing in the organ. There are back, front, side walls and bottom.

The anterior wall of the uterus is the part that faces the front wall of the woman's abdomen. Normally, the bottom should have a slight slope forward, and the front wall, accordingly, should be located slightly downward.

The uterus is a mobile organ. Thanks to the powerful ligaments that hold it in the pelvic cavity, it can change its position. For example, when the bladder is full, it can move back, and when the intestines are full, it can move forward. During pregnancy, the uterus gradually moves up and forward due to an increase in the weight of the fetus.

Placenta on the anterior wall of the uterus - what does this mean?

During a screening ultrasound, the doctor must note the location of the placenta. What is it for? The location of the placenta in a particular area of the uterus allows us to predict possible complications during pregnancy and childbirth. This gives time to take preventive measures.

Normally, the most successful option for attaching the placenta is along the posterior wall. The advantages of this arrangement lie in the anatomical features of the main reproductive organ.

The posterior wall and fundus of the uterus have a rich vascular network. Good blood supply to this area ensures greater blood flow to the “child’s place”; delivery of oxygen and nutrients to the fetus occurs in a larger volume.
This part of the uterus is denser and difficult to stretch, which allows the placenta to remain in a calm position without the risk of premature detachment.
The baby “kicks” the placenta with its legs less, thereby reducing the traumatic impact.

If the placenta is located on the anterior wall of the uterus, there is no reason to worry too much. However, it is worth considering that this arrangement has its own characteristics. It is important for a pregnant woman to know about this in advance, so that when the first signs indicating possible complications appear, she can seek help.

If the child is overly active, premature placental abruption may occur. This can also occur during training contractions, when the body is preparing for childbirth. Although these phenomena are quite rare, you should remember them.
If a woman has a history of uterine surgery or previous births were resolved by cesarean section, then the risk of placenta accreta to the scar is high.
If the placenta is attached very low on the anterior wall, then there is a high probability of bleeding during childbirth. Most likely, in this circumstance, a caesarean section will be required. When the placenta is located high on the anterior wall of the uterus, there should be no cause for concern.

Pregnancy with the placenta on the anterior wall has some peculiarities.

The expectant mother begins to feel the first movements later than with the classic location of the placenta. This happens because the placenta is quite thick, weak tremors will not be transmitted to the abdominal wall.
It will be difficult for the doctor to listen to the baby's heartbeat, since the placenta will reduce the conductivity of sounds.
It will also be difficult for the gynecologist to palpate parts of the fetal body.

Despite all the nuances, pregnancy with an anterior placenta is not a pathology. Childbirth occurs naturally if there are no other indications for cesarean section.

What is hypertonicity of the anterior wall of the uterus during pregnancy and why is it dangerous?

Hypertonicity is excessive muscle contraction. If the muscle bundles are contracted only in a certain area of the uterus, then they speak of local hypertonicity. Hypertonicity of the posterior and anterior walls of the uterus is more often noted.

With hypertonicity of the anterior wall of the uterus muscles, a woman feels pain and a feeling of heaviness in the abdomen. The pain symptom is similar to that during menstruation. Naturally, during the normal course of pregnancy, this should not happen.

Hypertonicity is dangerous because it can cause miscarriage in the early stages or placental abruption in the future.

Hypertonicity is diagnosed during an ultrasound. An expectant mother with uterine hypertonicity should maintain peace of mind and limit physical activity. The need for drug treatment is determined by the doctor.

What does chorion mean along the anterior wall of the uterus?

In embryology, the chorion is the outer membrane of the embryo. At a short stage of pregnancy, the membrane in which the baby is located can still hardly be called the placenta. After the 16th week of pregnancy, the membranes turn into a full-fledged placenta.

If the ultrasound indicated that the chorion is located along the anterior wall of the uterus, this indicates the attachment of the fetus to this particular area of the uterus.

The classic and most successful attachment option is the posterior wall of the uterus. But don’t be upset if the chorion is located on the front wall. This is by no means a pathology, but only a variant of the norm.

What does prolapse of the anterior wall of the uterus mean?

Prolapse of the uterine walls occurs when the ligaments that hold the uterus in its normal position are weak. Very often this pathology occurs in women in adulthood. The cause of prolapse may be difficult labor, multiple births, or a large fetus.

Sometimes uterine prolapse is associated with diseases (tumors, connective tissue diseases) or heavy physical activity.

For a long time, prolapse of the anterior wall of the uterus may not have symptoms. Prolapse of the uterine wall is rarely an independent symptom. More often this condition is combined with prolapse of the vaginal walls and cystocele. In this case, the bladder moves downward, lowering the vaginal wall.

A woman with this condition experiences discomfort with urination, complaining of difficulty passing urine or, conversely, incontinence.

As a result of stagnation, it develops. A woman may feel a foreign object in the vaginal area. This is a bladder that has sunk very low, causing pain when sitting and having sex.

Node on the anterior wall of the uterus - is it dangerous?

The most common benign tumor-like disease of the uterus is fibroids (leiomyoma). The disease affects a large number of women at different ages. Leiomyoma is asymptomatic in most cases. The disease is usually detected during an ultrasound.

A woman who has been diagnosed with leiomyoma usually begins to worry greatly about her reproductive function. It must be said that pregnancy with leiomyoma can proceed safely.

It all depends on the number of nodes and their location. Nodes located on the outer wall of the uterus (serous) do not prevent pregnancy. Nodes located in the thickness of the inner layer of the uterus may not interfere with pregnancy, but they will create problems during childbirth and after - they will interfere with normal contractions of the uterus.

The location of the fibromatous node on the anterior wall of the uterus on the mucosal side (submucosal node) can prevent pregnancy. In this case, the node must be deleted.

The location of the node on the anterior wall in the muscle layer (intramural node) or externally (subserous node) may not prevent pregnancy, but cause pain and cause menstrual disorders.

Fibromatous nodes must be treated at an early stage of development. There are medical and surgical treatments. Treatment tactics are determined by the doctor individually, based on the number, size of nodes and their location.

The placenta is formed from the beginning of pregnancy and by 16 weeks it is already a fully functioning organ. The main function of the placenta is to deliver oxygen and nutrients to the developing fetus, and it also removes waste products (waste and toxins) from its body. The normal functioning of the placenta is influenced by the place where it is attached. Thus, the ideal location of the placenta is the upper third of the posterior wall of the uterus. In our article we will look at the features of pregnancy if the placenta is located on the anterior wall of the uterus.

Localization of the placenta along the anterior wall of the uterus

Attachment of the placenta to the anterior wall more often occurs in women who have previously had pregnancies. During pregnancy, the muscle fibers of the anterior wall of the uterus are stretched, which explains the possible risks with this location of the placenta. The lower segment of the uterus is especially stretched, so if the placenta is located high on the anterior wall of the uterus, then this does not cause much concern. When the placenta is located on the anterior wall of the uterus, the expectant mother may begin to feel fetal movements later than with a posterior placenta, and they will also be much weaker. The exact location of the placenta can only be determined during the procedure.

What are the possible risks if the placenta is located on the anterior wall of the uterus?

If the placenta is attached to the anterior wall of the uterus, the risk of the following complications increases:

So, we examined the peculiarities of pregnancy and childbirth in the case of the placenta being located on the anterior wall of the uterus, and also considered the possible risks. I would like to emphasize that an important condition for preventing possible complications is the timely completion of ultrasound and other recommended studies.

Without the normal functioning of the placenta, it is impossible to imagine the full growth and development of the baby. This article will help you understand what placenta previa on the anterior wall of the uterus means and what it affects.

What it is?

To ensure the vital activity of the chorion, and subsequently the fetus, adequate blood flow is required. The baby can get all the nutrients and oxygen through the uteroplacental artery system. They pass through the placenta in large quantities, ensuring the growth and development of the fetus.

The main function, which is inherent in placental tissue by nature, is to provide the fetus with nutritional components, as well as its protection from external influences. The intrauterine development of the fetus largely depends on how the placenta is located. At a certain stage of pregnancy, fetal movements help determine the intensity of fetal growth.

The intensity of the baby’s intrauterine development also depends on how the placenta is attached. The attachment of placental tissue is determined, in fact, from the first weeks of pregnancy. The location of implantation of the fertilized egg influences where the placental tissue will be located.

The placenta is most often located along the posterior wall of the uterus in the area of its fundus. In some cases, it can be located in the area of the side walls - either right or left. If there is a lot of placental tissue, then it can attach to several uterine walls at once.

This physiological location of the placenta is explained quite simply. The blood supply in the area of the fundus of the uterus and its posterior wall is quite well expressed. This helps the fetus to grow quickly and intensively.

Obstetricians and gynecologists note that the placenta in some cases can also attach to the anterior wall of the uterus. It should be noted that this is much less common.

The normal attachment of the placenta along the posterior wall is not randomly determined by nature. This arrangement is more beneficial for the intrauterine development of the fetus.

Placental tissue can attach to different parts of the uterus. So, most often it is attached in the bottom area. However, under certain conditions, the laying of placental tissue occurs lower - in the area of the lower segment of the uterus. Too low a location of the placental tissue is fraught with the development of its presentation.

Doctors consider placenta previa to be a pathology when the placental tissue is in close proximity to the internal os of the uterus. Normally, there is a certain distance between them. So, in the 2nd trimester, the placental tissue is normally 5 cm higher than the internal os. If this distance is significantly reduced, then this pathological condition is called presentation.

Doctors distinguish several clinical variants of placental tissue previa. Thus, placenta previa can be central, marginal or lateral. The different clinical variants of this pathology are determined by the wall to which the placental tissue is attached.

Why is this happening?

The placenta is attached to the anterior wall of the uterus from the very early stages of pregnancy. This happens quite simply. For certain reasons, a fertilized egg cannot attach to the fundus of the uterus and begins to sink lower. So it descends almost to the internal pharynx, where its implantation occurs.

Various gynecological diseases can contribute to the development of anterior placenta previa. Chronic inflammation occurring in a woman’s reproductive organs leads to their damage. In this case, the mucous membrane lining the inner surface of the uterus changes. Such changes contribute to the fact that the fertilized egg can attach in the lower sections.

The placenta can be attached to the anterior wall of the uterus even if the woman has undergone a number of gynecological operations. Thus, curettage or the consequences of surgical abortions can contribute to the development of this type of presentation.

Doctors note that the risk of developing placenta previa is slightly higher in multiparous women. If a woman has a complicated obstetric and gynecological history, then the likelihood of anterior presentation of the placental tissue increases several times.

The development of this pathology can also be facilitated by various congenital pathologies of the reproductive organs. Placenta previa can occur in women suffering from uterine hypoplasia. Anatomical defects in the structure of the uterus can also contribute to the development of this pathology.

Features of this location

Attachment of placental tissue along the anterior wall is less physiological. This arrangement of placental tissue has both disadvantages and advantages. There are far fewer pros than cons.

It should also be noted that such a clinical situation requires a certain medical approach. A pregnant woman who has such a location of the placenta requires quite close monitoring by doctors.

pros

The advantages of anterior placenta previa include the possibility of migration. During the several months of waiting for the baby to be born, the placental tissue may change its position. Doctors note that the placental tissue with anterior placenta previa moves much more easily than with a posterior one.

Minuses

It is noted that the placenta is extremely rarely attached to the anterior wall of the uterus. This feature has important biological significance. This is explained quite simply. Placental tissue is very delicate. It can be easily damaged due to various external traumatic influences.

The location of the placenta on the anterior wall of the uterus can be dangerous due to the development of its detachment. In this case, abdominal injuries can contribute to the development of dangerous uterine bleeding. If it is too intense, then in such a situation acute oxygen starvation of the fetus may develop, which means there will be a severe threat to the baby’s life.

Is placenta migration possible?

Migration is a change in the original location of the placenta. Experts believe that a change in the localization of placental tissue during presentation along the anterior wall is possible. Pregnant women and doctors are usually warned about this when consulting them.

If placenta previa is detected to the anterior wall in the early stages of pregnancy, the expectant mother should not panic first of all. There is still quite a long way to go before birth occurs. During this time, the placental tissue can shift and even significantly change its position.

Such changes are assessed through ultrasound. As a rule, to track dynamics, doctors prescribe several sequential ultrasound examinations. When placental tissue previa is present, vaginal examinations should often not be performed. The lower the placenta is, the higher the likelihood of damage. Tracking the dynamics of the location of placental tissue during presentation is very important. It helps doctors timely identify developing complications and take the necessary measures to improve the situation.

It should be noted that in most cases the placental tissue changes its position rather slowly. It is optimal if this process occurs in the female body within 6-10 weeks. In this case, the likelihood that the expectant mother will experience any significant discomfort symptoms is quite low. Typically, migration of placental tissue is completely completed by the middle of the 3rd trimester of pregnancy.

If the placental tissue shifts too quickly for some reason, adverse symptoms may occur. The most dangerous of them are the development of bleeding and detachment of placental tissue from the uterine wall. As a rule, adverse symptoms develop if the placenta migrates within 1-2 weeks. The speed of placental migration depends on many factors and reasons, including how high the placental tissue was originally located.

Consequences

During a pregnancy that occurs with the development of anterior placenta previa, you can expect various surprises. Typically, adverse symptoms begin to develop from the 2nd trimester of pregnancy. The course of the 3rd trimester can also be complicated by the development of a number of pathologies.

Expectant mothers should remember that The presence of placenta previa is not a death sentence for the birth of a healthy child. Quite a few women have already encountered this pathology and given birth to their healthy, long-awaited babies.

It is important to remember that such a “special” pregnancy requires only a more attentive attitude of the expectant mother to her health, as well as careful monitoring of the course of intrauterine development of the fetus by specialists.

With a low location of the placenta and its presentation, the most dangerous complication is, perhaps, the development of bleeding. If it is strong enough, it does not go unnoticed. In this situation, the woman notices the appearance of blood from the genital tract. The severity of bleeding can vary, the color of the blood ranges from bright red to dark brown. In this situation, the main thing is to remember that when such bleeding appears, women with placenta previa should immediately seek advice from an obstetrician-gynecologist.

Placental abruption is another complication that can develop during such a pregnancy. The severity of the resulting disorders in this case largely depends on how much the placenta has separated from the uterine wall.

If this area is small, then the detachment can only be detected through ultrasound. In this case, the woman may not even experience bleeding from the genital tract, or it will be so insignificant that it will go unnoticed.

If the placental tissue exfoliates quite strongly, then in such a situation it is already possible to suspect this condition based on clinical symptoms. So, the expectant mother begins to feel pretty bad. She experiences severe weakness, pain in the abdomen may develop, and bloody discharge from the genital tract may also appear.

Severe placental abruption is also dangerous because it disrupts the general condition of the fetus. Disruption of oxygen supply leads to the fact that the fetus begins to experience hypoxia - oxygen starvation. This situation, as a rule, contributes to the fact that the clinical parameters of the fetus change. Thus, his heart rate and motor activity change significantly.

If severe placental abruption develops, a pregnant woman must be urgently hospitalized in a hospital. The further algorithm of medical actions will largely depend on the length of pregnancy.

If the threat to the life of the mother or fetus is too high, doctors will be forced to resort to emergency obstetric care. This is carried out according to vital indications.

How is childbirth?

The choice of obstetric care tactics for placenta previa is, as a rule, quite responsible. The life and health of the expectant mother and her baby depend on this.

It should be noted that nowadays, more and more often, obstetricians-gynecologists give their preference to the surgical method of childbirth, choosing a caesarean section. In this situation, the risk of developing birth injuries and damage is much lower. Of course, a caesarean section has certain disadvantages, since it is essentially a surgical operation.

However, with placenta previa, preserving the baby’s life is important.