In the majority of pregnancies, the placenta forms in the top half of the womb. In some cases, however, it forms in the lower half, so that it lies partly or completely over the cervix, blocking the baby's way out of the womb. This is known as a low-lying placenta (or placenta praevia).
The position of your placenta can be shown by an ultrasound scan. If you have a scan in the first half of your pregnancy that shows that your placenta is low-lying, this isn't usually any cause for concern. As many as one in four placentas may be low-lying in mid-pregnancy. The likelihood is that as your womb gets bigger, the placenta will move up (it doesn’t actually ‘move’ as such, but as the womb grows, the area to which the placenta is attached stretches upwards, away from the cervix). If your placenta is shown to be low-lying in mid-pregnancy, you’re likely to be offered another scan later on (usually around 32-34 weeks) to check that it has moved. Only 0.5 per cent -1 per cent of placentas remain low-lying at the end of pregnancy. However, when this happens, it can cause problems.
What problems does it cause?
The main problem that a low-lying placenta can cause is bright red bleeding from the vagina during the later stages of pregnancy. The bleeding may stop and start at first, and is painless. It happens because the lower part of your womb is starting to change shape and thin out in readiness for your baby to be born, but because the placenta can't stretch in the same way, it peels away at the edges, which causes bleeding.
At first, the bleeding is usually slight, but there's a risk that it might become heavy at any time without warning. Heavy bleeding may be accompanied by signs of shock - paleness, sweating and an increased pulse.
If you haven’t had a scan that has shown the position of your placenta and you experience this kind of bleeding, it may be an indication that the placenta is low-lying. Another sign that you might have a low-lying placenta is that your baby is lying in an awkward position in your womb - for example from side to side, or at an angle.
Will it harm my baby?
Having a low-lying placenta won't in itself harm your baby. If it causes bleeding, the blood comes from the mother, not from the baby, although it's occasionally possible that the baby might lose some blood too. Sometimes, however, if the bleeding is serious, it's necessary to deliver the baby early.
What can be done about it?
Unless the low-lying placenta causes bleeding, there is nothing that needs to be done about it. However, if you have any bleeding at any time, consult your doctor immediately. If he or she suspects that the bleeding is due to a low-lying placenta, you will be advised to have an ultrasound scan. If the diagnosis is confirmed by the scan, the treatment will depend on exactly where the placenta is lying, how many weeks pregnant you are, and how much bleeding you've had.
If the placenta is lying across the cervix, there's a very high risk that you'll experience more bleeding, which could be extremely heavy and put both you and your baby's lives at risk. Because of this you'll almost certainly be advised to stay in hospital until your baby is born. There's still a possibility that the placenta may move away from the cervix, but this becomes less likely as your pregnancy advances. You may be offered repeated scans to check whether the placenta is moving or not. If it doesn't move, the only way that your baby can be born is by Caesarean. This will usually be carried out at around 38 weeks.
If the placenta is only partly over the cervix, you'll probably still be advised to stay in hospital for the rest of your pregnancy because of the risk that you might bleed at any time. You'll need to discuss with your doctor whether to have the baby normally or by Caesarean. Some doctors will always recommend a Caesarean because of the risk of bleeding with a normal birth.
just wanna share with everyone...as SHARING IS CARING :)
Bulan November ni mcm2 jadi..yg paling terfamous sekali adalah BANJIR!! Huhu...1st time ku mengalaminya..dan ter'stranded'lah diriku di dalam umah selama 4 hari 5 malam ok...boringnye Allah je yg tau..tp naseb baik la umah sewa ada astro..and alhamdulillah bekalan air bersih and electricity x putus!! kira still bernasib baik banding warga Perlis dan Kedah yg lain...
semuanya bermula dengan berita yg Perlis di landa tornado! pegh!!kalo nak tgok pi kat link nih..
Kejadian ni bertarikh 28 Oktober 2010..dalam kul 5.15 petang..time tu mmg tiba2 ujan lebat giler, and i'm on my way balik keje..hubby plop on his way fetching me back to SP..masa dia kol dalam kol 5.05 pm dia kata dh kat area arau, so sepatutnya x sampai 15 minit dia sampai..tp hri tu lambat gak..rupenye ribut....
gambar amik dari google..
Start dari hari tu hujan sokmo..kalo berenti pon kejap2 je...
1 November 2010.. keje macam biasa, yet starting from dis day hujan turun x berhenti...my housemate Cik Roha, dah start panic! mana x nye, dia dapat berita ciri2 mau banjir sudah ada! Lab dh di arahkan mengangkat barang2 ke tingkat 1! tapi time ni xde berta pon sampai kat klinik den..ada gak tnya kat incharge tapi dia pun tgah tunggu arahan pihak atasan..ptg I ada appointment kat KK..nak scan tgok placenta's condition..
By noon, Cik Roha kol, nk balik cari food supply!kot2 banjir..member2 yg lain on d way balik dri Bandung..so kitorang pesan carik mknan gak n ape2 yg patut...kami berdua start sesi menyimpan air bersih..segala baldi n kolah yg ada kami boh air..persediaan..sebab selalunya dorang cut off iar bersih kan..ptg still mintak tlg dia anta pi KK nk wat check up..hasilnya doc kata uri still kat bawah, kena refer ke pakar!
Hujan xde tanda nak berhenti...ooh!! air sudah mula naik! HELP! HELP! housemate semua selamatkan kereta ke tempat lebih tinggi (belakang taman ni je) Time ni masing2 ingat nk lari ke Alor Setar..tp luckily x jadi sebab air naik cepat, dorang x sanggup nak amik risiko!!
2 November 2010.. Still raining..air terus naik tapi dengan kadar yg perlahan..x dpt keluar rumah dh melainkan meranduk air bah!housemate semua dok pesan kat eden jgn ngengada nk randuk air ok!! huhu... tnya incharge, dia kata kena dtg gak, kol lori utk amik...driver kata, kalo lori x mai2 tu maksudnya x leh lalu...tgu lah dri kol 8 smpi kul 5, x mai2 pon! so, dok je la kat umah...
Buka2 je pintu umah pagi tu, inilah hasilnya!! bau dia hanyir masyaAllah!!..
air kat jalan tu laju tau..area depan tu, lebih kurang 500 m, air paras pinggang time nih! uih!! mmg x berani nak redah..pegnen lagi..dok je la umah..lalalala!! dengar cite mbr2 farmasi siap naik lori,back hoe u!! menarik...menarik! pengalaman yg mesti dorang x leh lupe kan sampai bila2 pong!! hee..
3 November 2010...mcm dh nk berenti je hujan..ye lah! matahari mula menampakkan sinarnya...alhamdulilah..tapi masih malu2 gadis sunti gitu!still terperangkap kat umah..tgok tv la den pon..
4 November 2010...patutnya ptg ni blik SP..cuti 3 hari kan..tapi terbantut sebab jalan kangar-alor setar dh di tutup..hubby nk mai kola perlih pun x leh, hujan..laut bergelora...kesian kat mereka yg sambut deepavali esoknye...cmana lah eh..especially kat area alor setar n Jitra nun..teruk lagi banjir kat tempat dorang..eh!! hari ni bday ILLI NATRAH ke 17! epi bday!! huhu...
5 November 2010....Deepavali..Dh start surut dah..porch depan umah pun dh kering..tgal bau dia je..uish!! mmg hanyir sesangat! lagi kuat time ada air hari tu..tgal tgu kawasan belakang je surut lagi baru nak cuci...
6 November 2010...Dpt sms dari incharge nk start kemas klinik...I pun mengajak la my junior gi klinik..berjalan kaki untuk 30 minit!! pastu kena bebel ngan hubby, dgn perut besar tu jalan kaki ke hospital! pengalaman beb...mlm kaki kembang! padan muka!!checking our therapy room..Allah!PC terendam 1 inch, mainan kayu rak bwh terendam n luntur kaler..kapet bau dia jgn ckp la..huhu! boh luar bilik siap2..soknye smbung lain cuci..
7 November 2010...kenderaan dh boleh kuar umah!! sambung cuci klinik, la ni gi naik kete ok! hehe....sesi kali ni bilik pakar, bilik MO n bilik procedure..serta bilik audio a.k.a ofis ku n kak fathiah..buang kapet jugak!I dapek tlg ckit2 je la..tolak2 air, siram2 air..nak mengangkat tu x dapek la nak buat...
8 November 2010....keje semula tpi still no electricity...sesi menjemur pon bermula!!
selama seminggu tu ni la keje kami..jemur, angkat, jemur, angkat....the next week on 15th bru jumpa outpatient seperti biasa..inpatient tgok awal ckit...emm..begitu lah sedikit sebanyak citer banjir nih..hari ini dalam sejarah! teettt!!...
pejam celik, pejam celik....dh masuk 33 mgu my pregnancy..emm, kalau ikut due date ada 7 mgu lagi..tpi semua tu kuasa Allah kan..Hanya DIA yg tahu bila, di mana, bagaimana anak ini akan lahir...
Ya Allah..semoga anak ini sihat sempurna, cukup sifatnya, cerdas pemikirannya, dilindungi dan dipermudahkan kelahirannya..semoga anak ini anak yg soleh/solehah, sentiasa dalam peliharaanMU dunia dn akhirat..
Aminn...
ni masa 32 weeks...hee
kalau dapat la kan, moga2 aku dapat la melahirkan kat Selangor..bukannya apa, dekat ngan my mom..this is our 1st time experience..1st timer deliver, 1st timer mak n ayah aku dapat cucu, 1st timer nenek dapat cicit, 1st timer my siblings dapat anak menakan!! lagi pun mak x keje, n adik aku natrah dh habis SPM..boleh tlg2 kan! hehe..MIL still working jaga anak org..lagipun cucu dia dh ramai..dh ada experience..cumenye sian la hubby, jauh dia nti.... :(
hri tu masa masuk 7 bln, my dad ada tnya nk wat kenduri doa selamat ke...org jawa panggil mitoni..same as lenggang perut actually..diskas dgn bonda x yah laa...wat sekali masa ckor jambol bby nti..jauh la beb nk blik...cuti Abg Fauzan I tgal ciput jek! ckop2 nk anta I blik kg nti..hee..
sekarang ni, keje den pantang org ajak kuar mesti nk join!!haha!!especially kalo gi sopping mall! I LIKE!! dn destinasi tujuan of course tmpt brg bby...hehe...geram je tgok bju2 dorg nih especially gal's..memandangkan x tau bby nye gender, so belilah yg dua2 pon boleh pakai...
cuma start mgu nih, den mcm x larat yo nk gerak lama2..nk dok tegak pon dh mengah!kaki pon kjap kembang kejap surut..kalo dh edema tu nk bengkok kaki pon susah, especially bahagian buku lali...
edema....
tapi yang best tu kan, dapat sandel baru! en suami bayar! huahuahua!! I x suruh ok..hee..SUKE! yg kurang best tu mesti org cop den pemalas..huhu!!sebab gerak ckit dh mengah..hubby siap kata mlm2 tido dengkur! OH TIDAK!!!! payah le nk bernafas kalo bantal x tinggi..
emm...last check up doc mention uri aku still kat bawah..posterior low lying placenta praevia type 1..so doc refer terus gi jumpa specialist..esok patut ada appointment dgn pakar kat metro specialist..hopefully dia ada la..xde emergency ot..next week jumpa pakar kat HTF plak..scan lagi sekali nak tentukan boleh deliver normally or czec! risau jgak ni..tp kawan2 kata jgn fikir sangat..doa bnyk2!..doa kan sama ya! TQ!!
dah masuk 30 weeks ni bertambah lagi pemantauan..gula kena cek 2 mgu sekali 4x sehari, kena kira pergerakan baby, mesti ckop 10x pergerakan from 9 am - 9 pm..kadang2 terlupa gak! huhu!! setakat ni bby complete cycle antara kul 2.30 pm to 7.30 pm..hopefully bby is fine..
so, itu lah rutin I sekarang...k beb! hubby dh panggil join tgok tv kat luar..till next update!
See! x nampak pon kan?? sbb tu malas nk snap pic heheh..kecik je perotku itu... tapi sebab ramai yg nk tgok (ramai ke??) ni la aku dlm usia kandungan 7 bulan...lagipon baju tu kembang, x nampak....
Siap bleh pakai bju kurung lagi...tapi bile scan, doc ukur ikut umur dia...so kesimpulannya perot x menentukan saiz bayi anda! hehehehehhe....
