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What is placenta previa? — Placenta previa is a condition that happens during pregnancy when the placenta covers the opening of the cervix. Normally, the placenta is not near the cervix (figure 1).
Placenta previa can cause severe bleeding from the vagina.
Placenta previa is more likely in people who:
●Had more than 1 c-section – A c-section is a type of surgery used to deliver a baby. It is also called a "cesarean birth."
●Had placenta previa in a previous pregnancy
Other things that can make placenta previa more likely are:
●Smoking
●Giving birth several times before
●Being pregnant with more than 1 baby at a time
What are the symptoms of placenta previa? — Most people leak blood from the vagina. In some, the uterus also tightens. Doctors call this "contractions." The belly can feel hard during contractions.
A few people do not have any symptoms of placenta previa.
Is there a test for placenta previa? — Yes. Your doctor or midwife can order a test called an "ultrasound." This is an imaging test that creates pictures of the baby inside your body. It also shows the placenta.
How is placenta previa treated? — Treatment depends on your symptoms and how far along you are in your pregnancy. If placenta previa does not cause bleeding, you might have an ultrasound every few weeks to check it. The placenta sometimes moves into a normal position.
If you have a placenta previa that is bleeding, even a little bit, you will probably need treatment in the hospital right away. Your doctor or midwife will:
●Check your heart rate and blood pressure – They will also check the baby's heart rate.
●Check how much you are bleeding
●Give you fluids through an "IV" – This is a thin tube that goes into a vein. The fluids help keep your blood flow and blood pressure as normal as possible.
If the bleeding is heavy and does not slow down, your doctor might:
●Give you a blood transfusion – This is when you get blood that was donated by another person.
●Deliver the baby with a c-section, even if it means the baby comes early
Most people who have placenta previa do not need to deliver the baby the first time that they have bleeding. Some people might need to stay in the hospital until they give birth, but others can go home when the bleeding stops.
Further treatment might include:
●Iron pills, if you lost a lot of blood
●Steroid medicines – These help the baby's lungs get ready for birth, if it could be born early. These are not the same as the steroids some athletes take illegally.
●A shot of "Rh immune globulin" if you are Rh-negative (which means your blood cells do not have a protein called "Rh factor")
Is there anything I can do on my own? — Yes. Your doctor, nurse, or midwife will tell you to:
●Avoid sex – Having sex, or putting anything deep in the vagina, can cause bleeding.
●Rest – You will need to avoid standing for a long time. You should also not do any heavy exercise or lifting. These things might increase your risk of going into labor early.
You will need to have someone with you who can bring you to the hospital or call for help if you start bleeding again.
When should I call the doctor? — Your doctor, nurse, or midwife will tell you what problems to watch for. You should call right away if you:
●Start bleeding from your vagina again
●Think you are having contractions
If you are losing a lot of blood (for example, if you see large clots), call for an ambulance (in the US and Canada, call 9-1-1).
When will I give birth? — If the placenta previa does not go away, your doctor will deliver the baby with a c-section about 2 to 4 weeks before your due date. This is because labor and vaginal delivery with placenta previa will cause severe bleeding. This is dangerous for you and your baby.
Patient education: C-section (cesarean birth) (The Basics)
Patient education: What to expect in the NICU (The Basics)
Patient education: C-section (cesarean delivery) (Beyond the Basics)
