© 2019 Royal College of Obstetricians and Gynaecologists. They wont check mines until 30 weeks with the possibility of C section at 34 weeks they said if it doesnt fix itself. I still walk and do move bec i work in the office So no bed rest here. This systematic review demonstrates the possibility of a vaginal delivery in women with a low-lying placenta within 20 mm of the cervix.Ĭaesarean section haemorrhage low-lying placenta vaginal delivery. But My doctor said no sex (complete pelvic rest lol), no exercise ( ) and no lifting more than 25 lbs. Therefore, shared decision-making is mandatory in case of a trial of labour. An ultrasound can tell you if you have a low-lying placenta and, if so, the distance from the edge of your placenta to your cervix. However, women with a low-lying placenta have a higher chance of an emergency caesarean section compared with women with a placenta outside the lower uterine segment. A low-lying placenta is located close to the cervix, but does not cover the cervical opening at all. The IVPF recommends complete pelvic rest, hospitalization in the 3rd trimester. Postpartum haemorrhage did not depend on IOD.Ī low-lying placenta is not a contraindication for a trial of labour, and the morbidity in these women is not increased. Vasa previa can result from low-lying placenta or placenta previa. A shorter IOD had a higher chance of antepartum haemorrhage, whereas a larger IOD needed postpartum blood transfusion more often. A vaginal delivery was successful at an IOD of 0-10 mm in 43%, at an IOD of 11-20 mm in 85%, and at an IOD of >20 mm in 82%. Of the 999 articles retrieved, 10 articles met our inclusion criteria. antepartum blood loss, postpartum haemorrhage and blood transfusion) at different cut-off values was evaluated. A meta-analysis of proportions was made for successful vaginal delivery and emergency caesarean section at every cut-off value. We distinguished between different distances between the cervical os and the placenta (internal os distance, IOD) 0-10, 11-20, and >20 mm. When a woman has placenta previa (the placenta has implanted at the bottom of the uterus, over the cervix or close by), the baby cant be born vaginally. We searched OVID EMBASE and MEDLINE for studies on vaginal delivery with a low-lying placenta.ĭata was extracted on successful vaginal delivery and emergency caesarean section due to haemorrhage. To review the literature on the success of a vaginal delivery with a low-lying placenta. The preferred way of delivery within this group is unclear. ![]() Low-lying placentas are positioned close to the internal os of the cervix.
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