Placenta Previa Management: How to Manage This Complication

Placenta Previa Management

Placenta previa management is a tricky and highly debated topic. It is a condition seen in only advanced stages of pregnancy. This often increases the concern element.

Though not common, it is a phenomenon that scares many pregnant women. It is seen in only one in 200 cases. Even those who have it, deliver healthy babies in most situations. Apart from occasional pain and bleeding, there isn’t much to worry about. Of course, the interim time can be worrying.

Therefore, the moot factor to remember in the case of placenta previa is that being scared is not a way. You have to keep your head in a calm place and manage the situation. Beyond the key 20-week stage, the health of mother and baby are primary. So, keep your focus essentially at physical and mental wellness. It will surely help you manage it better. It will make sure that you are taking all necessary care.

Charting Out the Course of Treatment for Placenta Previa Management

Charting out the best course of treatment is often the most important step while you are dealing with placenta previa. Treatment does not imply curing the placenta care in any way.

Treatment will only help you tackle it more effectively and keep the symptoms at bay. It is important that you make an informed choice in this context. It will help you think constructively and keep worries away.

Also, a well-structured treatment plan will minimize the scope of potential lapses. Despite your busy schedule, this plan will help you stay in-sync with the requirement of the yet to be born child.

1. Panic Has No Place

When we are discussing placenta previa management, a calm approach is crucial. There are two very important factors to consider.

  • First of all, the general awareness about it is much lower. But that also means you will get a lot more unnecessary advice. The best approach is to stay calm. Do not discuss this condition with too many people. Just concentrate on what your doctor has advised. That way, you will do all the necessary things without succumbing to fear. This helps in maintaining your body balance and also your mental wellness.
  • The second most important aspect is to rein in your fear. I am sure you have heard enough about the importance of a positive approach during pregnancy. It is believed across cultures that happy and positive thoughts impact your yet to be born baby positively. It will also help you concentrate on the key elements in terms of your wellness.

A calm approach, as a result, will help you become practical. This goes a long way in ensuring better health of the fetus. It will also ensure that you have a clear idea about how to go ahead with the overall care regimen. That helps in both better monitoring of the baby’s health as well as keeping your health concerns at ease as much as possible.

2. Limit Activities

Often the best placenta previa management is by limiting the day to day activity. Lying down may not be a foolproof solution. However, if you limit your activity, it brings down the severity and extent of bleeding. That can help in a big way. Often you will notice that limiting your day to day activity helps you in more than one way.

  • First and foremost, it cuts down the relative physical activity. That gives your body more rest and cuts down the physical stress.
  • If you are lying down in the bed and not going about the normal pace of your job, it also means that your mental stress is much lower. Often less work or more of bed rest also ensures that you are more at peace. Internally, there is lesser turmoil in your mind. There is no direct link to the bleeding or cramps. But lesser stress levels typically also keep the severity of the symptoms reined in.

Therefore, you have to look at a condition that makes it possible for the pregnancy to continue its natural course. Limiting activities help in achieving this end in a simple and painless way. The rest is also good for the baby and cuts down all stress-related complications for the pregnant mother.

3. Seek Medical Help for Severe Conditions

Right from the diagnosis to its management, medical intervention is extremely important. Normally, doctors also diagnose the placenta previa through an ultrasound. But there is nothing to be scared about. Your doctor will chart out a treatment schedule for you. Typically this includes

  • The medication acts as tocolytic agents. In simple words, these medicines ensure that there is no pre-term labor. They help in delaying pre-mature activity in the uterine region. It also helps the pregnancy complete its full-term.

This type of medication contains elements like magnesium sulphate, beta-mimetics and the like. This effectively postpones the delivery and helps in the fetus’ appropriate development. However, do not self-prescribe these medicines. You have to take them after consulting with your doctor. They may undertake certain tests before prescribing these.

  • In some severe cases, they may also administer intravenous fluids to the pregnant woman. This is primarily done to maintain the proper balance of the body fluid and unhindered growth of the fetus. But you must consult this with the doctor before going for this.
  • In some cases, doctors may resort to blood transfusions. This depends upon the severity of the condition. If your bleeding is very severe or you are getting cramps, doctors may consider this. The good news is that it is a very rare occurrence and only if there is a mismatch in your body vitals.

4. Regular Medical Check-Up Is Necessary

That brings us to one of the most important aspects. In case you are diagnosed with placenta previa, effective management is crucial. For this, you need to visit the doctor regularly.

Depending on the extent of the uterus that the placenta covers, your doctor may alter your schedule. They may call you more frequently to monitor the fetus’ development.

That apart, if the previa covers the opening of the uterus, they may also need to monitor the baby’s movement. A breech pregnancy is almost a given. In this case, regular consultation with the doctor helps in better assessment of your health as well as the baby’s health. This also gives them a better idea to chart out the pregnancy course and decide on a date for Cesarean delivery.

Cesarean Delivery May Be Prescribed

Normally, a Cesarean delivery is the safest bet in case of a complete placenta previa or a breech pregnancy resulting from this. It rules out the complications that may arise due to a natural vaginal delivery.

Moreover, if there is a complete placenta previa, there is a very little scope of natural delivery. In that situation, the C-section delivery is the only viable option. The two advantages of this methodology are:

  • Can be controlled better

Once the baby has developed completely, the doctor will assign a date for Cesarean delivery. So, you do not have to wait for natural labor to set in. Given the complication and pain associated with placenta previa, it puts the control in their hand. Moreover, this also cuts down the risk associated with a natural delivery, especially in the case of a major placenta previa.

  • Makes delivery less painful

Since labor is induced artificially and the baby is delivered surgically, it is a less painful process. You generally have the option of general anesthesia or epidural/spinal anesthesia for the process. This helps in dealing with delivery for those with placenta previa. It makes the process relatively seamless and a lot less uncertain.


Therefore, effective placenta previa management is all about following some basic health precautions. In advanced stages of pregnancy, the health of the fetus and the mother is most important. While some of the symptoms like mild bleeding and cramps can cause a lot of discomfort, it is all about maintaining the body’s harmony.

Of course, seeking the doctor’s opinion is important, and following the medical check-up routine is crucial. Often that is what will help you monitor the baby’s health at regular intervals. It also helps your doctor chart out a well-structured plan on the possible plan of action. It also helps you calm down to a large extent. The regular ultrasounds and heartbeat checks will assure you that your baby is doing just fine.

If the placenta previa covers the uterine wall, often C-section is the only way to deliver the baby. But that does not imply there is anything wrong for the baby. The cesarean procedure is perfectly safe for delivery. It helps you overcome the concerns about placenta previa. You have to focus on being positive and stay calm. Let nature take its course.

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