Placenta previa


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Anatomy of a normal placenta
Anatomy of a normal placenta
Cesarean section
Cesarean section
Placenta
Placenta
Placenta
Placenta
Placenta previa
Placenta previa
Ultrasound, color - normal umbilical cord
Ultrasound, color - normal umbilical cord
Ultrasound, normal fetus - arms and legs
Ultrasound, normal fetus - arms and legs
Ultrasound, normal relaxed placenta
Ultrasound, normal relaxed placenta
Ultrasound in pregnancy
Ultrasound in pregnancy
Symptoms
  • Spotting during the first and second trimesters
  • Sudden, painless, and profuse vaginal bleeding in pregnancy during the third trimester (usually after 28 weeks)
  • Uterine cramping occurring with onset of bleeding

Note: Bleeding may not occur until after labor starts in some cases. Labor sometimes starts within several days after initial heavy, vaginal bleeding.


Signs and tests

The uterus is usually soft and relaxed. The infant position is oblique ( // ) or transverse ( == ) in about 15% of cases. Fetal distress is not usually present unless a cord accident occurs, or vaginal blood loss has been heavy enough to induce maternal shock or placenta abruptio.

An abdominal ultrasound performed during the second trimester indicates low positioning of the placenta. Transvaginal or transperineal ultrasound can help physicians determine the position of a low-lying placenta.



Review Date: 08/19/2005
Reviewed By: Sharon Roseanne Thompson, M.D., M.P.H., Clinical Fellow, Department of Obstetrics & Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.


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