Location of the placenta along the anterior wall of the uterus. Placenta on the anterior wall What does attachment on the anterior wall mean?

Being in euphoria all day today, I didn’t pay any attention to the fact that my placenta was located on the front wall of the uterus... and now it’s stuck! With my first child, I had an anterior position and it all ended in premature birth of a CS due to placental abruption (((I searched the Internet, this is what I found:

What are the risks of placing the placenta on the anterior wall of the uterus?

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 presentation, or 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 placenta accreta 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 front 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!

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.

The formation of the placenta is observed from the first day of pregnancy of the fairer sex.

At 16 weeks of pregnancy, the placenta is a fully functioning organ. It delivers oxygen and nutrients to the fetus, which ensures its full growth and development. The placenta also removes the baby's waste products.

In most cases, the organ is located on the back walls of the uterus. But sometimes the location of the placenta is the anterior wall of the uterus.

Normally, the placenta of a representative of the fairer sex is located along the rear walls. If a woman's uterus is not pregnant, then it is located behind the bladder. After conception, a woman's uterus moves forward, and the bladder is located behind it. As the child develops and grows, the anterior wall of the uterus stretches while the posterior wall remains practically motionless.

The location of the placenta on the posterior walls of the uterus is characterized by a large number of advantages:

This arrangement ensures fetal immobility. This is due to the minimal tensile capacity of the posterior wall. Compared to the front wall, it is denser and thicker. During the period of uterine contraction, the organ will be subject to minimal stress, which will eliminate the possibility of expulsion of the placenta.
When the placenta is located posteriorly, a lower level of trauma is ensured. When the baby moves and kicks, it will affect the placenta much less often than with a different location.
When the placenta is positioned posteriorly, the risk of detachment is minimized. Premature detachment of the organ in most cases is observed when it is located in the front.
If located on the back walls of the uterus, this significantly reduces the risks of such phenomena as its growth or attachment.

During pregnancy, the placenta can be located not only on the back, but also on the side walls. It can also be located on the anterior wall of the uterus. This arrangement does not apply to a number of pathologies. Despite this, it leads to various types of risks.

Features of the anterior location of the placenta

If the organ is located on the front walls of the uterus, then it will be quite simple for the doctor to determine this by the external signs of the pregnant woman.

In a representative of the fairer sex, with this location of the placenta in the uterus, the size of the abdomen is larger than normal. This leads to the appearance of a large number of stretch marks.

Many women feel them very little or do not notice them at all. In most cases, fetal movements begin to be felt much later than the established norm.

When a doctor listens to the fetal heartbeat, he hears it remotely. This causes difficulties when examining the child.

The location of the placenta on the anterior wall of the uterus causes a lot of inconvenience during the examination of a representative of a weak hearth. It is a little more difficult for the woman herself to bear a child than with a normal placenta.

Existing risks

When the placenta is located on the anterior wall of the uterus, certain risks arise that can lead to negative consequences.

In most cases, placenta accretion to the uterine wall is observed. This pathological condition occurs in extremely rare cases, but it is necessary to remember about it for those representatives of the fairer sex whose previous births were performed using the method or other operations were observed. The appearance of the pathological condition is explained by the fact that the placenta is attached as tightly as possible to the postoperative scar.

Attachment of the placenta to the anterior wall of the uterus can be observed after abortions in which curettage was used, manual separation of the placenta with damage to the walls of the uterus. Pathology can also be observed against the background of perforation and uterine rupture.

Women may be at risk of placenta previa, which is explained by anatomical features. When the placenta is located on the back walls of the uterus, as it grows, the organ moves upward. These are anatomical changes that eliminate the possibility of development.

When the organ is located on the anterior wall of the uterus, certain complications may arise. If the embryo is positioned low at the initial stage, the placenta will grow quite high.

If the embryo is close to the exit of the uterus, the placenta will move downwards. As a result of this, partial or complete presentation and closure of the anterior pharynx by the organ are observed. In most cases, with this arrangement of the organ, it is observed to be premature.

Most often, this location of the placenta leads to its abruption. If we compare the anterior and posterior walls of the uterus, the first of them is more extensible and thinner. As the fetus grows, there is an increase in pressure on the anterior wall. In addition, the baby in the womb begins to push intensely. At later stages, a high level of sensitivity of the uterus to external influences is observed.

When a woman strokes her belly or feels the baby move, this in most cases leads to training contractions of the uterus. These are not dangerous either for the child or for the fairer sex. When the placenta is located on the anterior wall of the uterus, there may be a risk of premature detachment. If the placenta is attached well and there are no scars on the uterus, the woman’s pregnancy will proceed normally.

The location of the placenta on the anterior wall of the uterus is influenced by a whole group of factors. The most common cause is various surgical interventions and cesarean section.

In order to determine the location of the organ, appropriate diagnostics are carried out. If the doctor has doubts about the location of the placenta, he prescribes an ultrasound examination for the fairer sex.

The location of the placenta on the anterior wall of the uterus is not a pathological process. But the fairer sex needs to be as careful as possible, since such a condition can lead to complications.

Watch the educational video:

The placenta is one of several temporary organs that develop in a woman's body during pregnancy. The importance of the placenta in the development of the fetus is difficult to overestimate: it is an intermediary between the child and his mother, transfers nutrients and oxygen from the mother’s blood to the baby, removes toxins and waste products from the fetus, filters the mother’s blood from harmful substances and infections, thereby protecting the baby, whose immunity is not yet able to withstand the influence of the external environment.

Considering all this, it is easy to understand why doctors monitor the condition of the placenta, its location, and so on so closely.

The placenta is formed only by the 4th month of pregnancy. Before this, its functions are distributed among other temporary organs: the fetal membrane and the corpus luteum, formed at the site of the burst follicle. For the development of the baby, it is very important that the placenta is formed correctly, and even its location is of great importance for the proper course of pregnancy.

What are the features of the location of the placenta, and how does it affect the course of pregnancy?

The most ideal option for placing the placenta in the uterine cavity is to attach it along the back wall in the upper part of the uterus, closer to the bottom. The fact is that the walls of the uterus are designed in such a way that as the fetus grows, they stretch very much. However, they do not stretch evenly.

The uterus is designed in such a way that stretching occurs mostly along anterior wall. It becomes thinner and more extensible, while the back wall remains dense and is much less susceptible to stretching.

That is why nature prescribes the attachment of the fertilized egg to the posterior wall, because the placenta, unlike muscle tissue, does not have the ability to stretch. Thus, the placenta, fixed to the posterior wall, experiences significantly less stress, which is not at all beneficial for it.

So it turns out that the back wall is an ideal option for the attachment of the fetus, and then the development of the placenta.

Placenta location options

For various reasons, the fertilized egg can attach not only to the upper part of the posterior wall of the uterus, but also to other parts of it. Quite often there is a side mount: to the right or left of the back wall. In some, also not very rare cases, the placenta is attached to the anterior wall of the uterus.

All of these options for the location of the placenta are not considered a pathology, although in such cases there is a deviation from the ideal location intended by nature. Women with a lateral placenta, as well as with a placenta attached to the anterior wall, most often carry and give birth to children naturally without complications. Of course, among them there are those who are faced with various pathologies, but, as a rule, they have other reasons for complications.

Certainly, placenta located on the anterior wall is exposed to somewhat greater loads due to constant stretching of the walls of the uterus, fetal movements, and maternal actions. To some extent, this increases the risk of damage to the placenta, premature detachment, and so on. The direction of placental migration may also change.

Due to the constant stretching of the muscles of the uterus, the placenta can gradually descend too close to the os of the uterus, and sometimes even block the exit from the uterus to the birth canal. If there is 6 centimeters or less left between the edge of the placenta and the cervical os, they speak of it, but if the placenta partially or completely blocks the exit from the uterus, this pathology is called placenta previa.

However, low placentation and placenta previa can be caused by a number of other reasons, which will be discussed later. Presentation on the posterior wall occurs much less frequently than along the anterior wall. We have already discussed above why this happens.

Causes of anterior placenta previa

What are the causes of placenta previa along the anterior wall? Unfortunately, these reasons are not fully understood. However, some of them have already been reliably established. In particular, these include various endometrial damage- inner layer of the uterus. These may be inflammatory processes, scars from operations, for example, cesarean section, consequences of curettage after miscarriages or abortions.

Uterine fibroids, as well as its other pathologies, can cause placenta previa along the anterior wall. It has been noted that in women giving birth for the first time, this pathology occurs much less frequently than in second and subsequent pregnancies. This is most likely also due to the condition of the uterine mucosa.

However, reasons for this pathology may arise not only from the mother’s side. In some cases they lie in underdevelopment fertilized egg. Because of this lag, the fertilized egg does not have time to implant into the endometrium in time. Implantation occurs in this case in the lower part of the uterus.

It also happens that the fertilized egg attaches to the anterior wall in the upper part of the uterus, but subsequently the placenta migrates as a result of stretching of the uterus to the lower part.

Degrees of anterior presentation

There are complete and partial presentations. It's not hard to understand that full presentation This is a situation where the placenta completely covers the cervical os.

Partial presentation also divided into 2 different types: lateral and marginal. Marginal - when the placenta passes along the very edge of the uterine os. Lateral presentation is when the placenta still blocks the exit from the uterus, although not completely.

Symptoms of anterior presentation and why it is dangerous

Unfortunately, very often anterior placenta previa occurs completely. asymptomatic. Of course, this does not mean that it will be impossible to diagnose pathology. How to identify the problem will be discussed later. The main thing in the absence of symptoms is that it is not always possible to diagnose presentation on time.

In some cases, placenta previa makes itself felt bleeding. This means that premature placental abruption has occurred. Actually, this is precisely the main danger of presentation, although not the only one.

As you remember, the placenta supplies the fetus with nutrients and oxygen. When the placenta is located low, and even more so blocks the exit from the uterus, it turns out that the child presses on it with all his weight. It can compress blood vessels in the placenta. This, in turn, can cause oxygen starvation - hypoxia.

As the fetus grows, the pressure on the placenta increases, in addition, the baby’s movements become more active, he touches the placenta. As a result, premature placental abruption. In this case, the consequences can be disastrous not only for the child, but also for the mother. Especially if she has problems with blood clotting.

Bleeding during presentation can occur as early as the second trimester, immediately after the formation of the placenta has completed. However, most often it occurs at a later stage, sometimes just before childbirth, or even during childbirth.

Therefore, if a symptom of placenta previa becomes vaginal bleeding, you must immediately consult a doctor to determine the cause and begin treatment.

We should also talk about breech birth. Complete presentation, a condition when the placenta blocks the exit from the uterus, completely eliminates the possibility of natural childbirth.

The placental tissue simply will not release the fetus into the birth canal. But in the case of partial presentation, natural childbirth is, in principle, possible. The main thing is that doctors delivering babies carefully monitor the woman in labor. If bleeding occurs, it still makes sense to perform an emergency caesarean section.

Diagnosis of anterior presentation

Placenta previa can be diagnosed in several ways. Including when gynecological examination. Complete and partial presentation are felt differently by palpation. With complete presentation, it is felt to the touch that the os of the uterus is completely blocked by the placenta.

With partial presentation, both placental tissue and membranes are felt. By the way, upon examination, lateral and marginal presentation are perceived equally. So a gynecologist without additional devices will not be able to determine what type of partial presentation we are talking about.

If a woman was initially diagnosed with low placentation, for example, during the first routine ultrasound, then she will subsequently be regularly examined, including with ultrasound. Then, in the event of placenta migration and the development of presentation, this will be promptly identified during the next study. An ultrasound will show the presence of pathology even if it is asymptomatic. That is why women are recommended to attend all routine examinations and ultrasound examinations.

Treatment of women with anterior presentation

Unfortunately, modern medicine is not able to influence the location of the placenta. Treatment of placenta previa comes down to constant monitoring by doctors and timely examinations. In this case, not only the condition of the fetus and placenta is monitored, but also the condition of the pregnant woman. Blood tests must be done regularly. The level of hemoglobin and the ability of the blood to clot are checked. The fact is that anemia or acute blood incoagulability can play a bad joke on the expectant mother in the event of bleeding.

If a woman diagnosed with anterior placenta previa begins to have vaginal bleeding beyond 24 weeks, no matter how severe, the woman will be hospitalized. And be sure to go to the hospital where there is a special intensive care unit. In case of extensive blood loss. The main and first prescription for all women with bleeding during pregnancy is absolute peace.

The placenta is a “bridge” from the mother’s body to the child, which supplies oxygen and all the necessary substances for its development. This mediator also removes toxins, waste products from the embryo, thus protecting it. Due to the importance of the placenta, doctors closely monitor its condition and location. Let's figure out what the placenta on the anterior wall should be like normally and what it is.

How should it be positioned?

For the proper growth and development of the baby, it is important that the placenta forms properly. Its location is an important factor in the proper course of pregnancy.

Ideally, the placenta should be attached to the back wall of the uterus, in its upper part and closer to the bottom. After all, as the fetus grows, the walls of the uterus stretch very much. But not evenly, but more along the front wall. It thins out significantly. The back wall remains dense and less susceptible to stretching.

Therefore, the attachment of the embryo to the posterior wall is considered natural and normal, because the placenta does not have stretching properties. That is, the placenta along the posterior wall is less subject to loads that burden it. This means that the ideal is for the fetus to attach along the posterior wall and develop the placenta.

Options for placing the placenta can be different: lateral attachment (to the right or left of the back wall), on the front wall of the uterus. The last option is the most dangerous. After all, the placenta on the anterior wall is subject to heavy loads due to stretching of the uterus, activity of the fetus and mother. This is a risk of damage to the placenta or its premature detachment. Also, the placenta may descend close to the os of the uterus, or may block the exit to the birth canal.

Causes of anterior presentation

Why does placenta previa occur along the anterior wall? The reasons for this are not entirely understood. One of the main ones is damage (to the inner layer of the uterus). That is, the consequences of inflammation, curettage, scars from operations. The cause of placenta previa along the anterior wall may be other pathologies. By the way, in primiparous women this pathology is detected much less frequently than in second and third births. Gynecologists explain this by the condition of the inner lining of the uterus.

But the cause of this pathology may not only be the mother. Sometimes the problem lies in the development of the fertilized egg. Developmental lag contributes to the fact that it does not have time to penetrate the endometrium. Implantation then occurs in the lower part of the uterus.

Often the fertilized egg is attached to the anterior wall of the uterus, but in its upper part. Then the placenta migrates down.

Diagnostics

Anterior placenta previa is diagnosed in several ways. Palpation gives different sensations with complete and partial presentation. In the first case, the gynecologist feels to the touch that the os of the uterus is completely blocked by the placenta. If the presentation is partial, then the doctor feels the placental tissue and membranes. But lateral and marginal presentation are perceived equally upon examination. That is, the doctor, without additional research, will not be able to determine what type of partial presentation we are talking about. This test is an ultrasound. Therefore, expectant mothers are strongly recommended to attend all scheduled examinations and ultrasound examinations.

Treatment of pregnant women with anterior presentation

The treatment process means constant monitoring and observation by a gynecologist, timely and sometimes additional studies. At the same time, not only the condition of the placenta is monitored, but also the condition of the pregnant woman. In anterior presentation, blood tests check for hemoglobin and blood clotting. After all, anemia or blood incoagulability can be fatal for a woman in the event of bleeding.

If this happens beyond 24 weeks, the woman is admitted to hospital. At the same time, the hospital must have an intensive care unit in case of large blood loss. The main purpose for such women is absolute peace. After the bleeding stops, as a rule, the woman is left in the hospital until delivery, because she needs to be monitored regularly and often. Usually, doctors successfully prolong pregnancy at least until the period when the life of the fetus can be saved.

So, if you have anterior placenta previa, then you should take care of yourself as much as possible. You must protect your stomach, move carefully and avoid any impact on it. Let it even be the desire of one of your relatives to stroke your belly with the best intentions. This is especially dangerous in the later stages, because it can cause false.

Be healthy and calm!

Especially for Elena TOLOCHIK